Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.39 / $116.60 / $171.48	Facility	26	$104.39	$116.60	$171.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.86 / $550.00 / $837.53	Professional		$382.86	$550.00	$837.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.87 / $120.00 / $209.14	Professional	26	$101.87	$120.00	$209.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $254.03 / $440.00 / $494.98	Professional	TC	$254.03	$440.00	$494.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.86 / $300.86 / $300.86	Professional		$300.86	$300.86	$300.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.95 / $107.38 / $189.18	Professional	26	$74.95	$107.38	$189.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.32 / $583.66 / $922.26	Professional		$464.32	$583.66	$922.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.97 / $164.74 / $196.12	Professional	26	$118.97	$164.74	$196.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $345.35 / $412.82 / $726.15	Professional	TC	$345.35	$412.82	$726.15
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $93.22 / $98.02 / $184.48	Professional	26	$93.22	$98.02	$184.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $417.40 / $917.39	Professional		$210.60	$417.40	$917.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.91 / $114.70 / $204.32	Professional	26	$66.91	$114.70	$204.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.69 / $272.31 / $807.73	Professional	TC	$143.69	$272.31	$807.73
United Facility/Professional Professional Modifier Low / Median / High Price $344.75 / $475.51 / $1,122.93	Professional		$344.75	$475.51	$1,122.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.05 / $109.35 / $184.06	Professional	26	$86.05	$109.35	$184.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.05 / $344.29 / $870.06	Professional	TC	$242.05	$344.29	$870.06