Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.13 / $110.00 / $125.76	Facility	26	$67.13	$110.00	$125.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.66 / $475.00 / $700.00	Professional		$234.66	$475.00	$700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.03 / $110.00 / $145.65	Professional	26	$63.03	$110.00	$145.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $88.07 / $275.00 / $300.00	Professional	52	$88.07	$275.00	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.77 / $335.00 / $440.00	Professional	TC	$179.77	$335.00	$440.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $181.89 / $190.69	Professional		$141.44	$181.89	$190.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $67.13 / $118.49	Professional	26	$58.94	$67.13	$118.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.29 / $338.25 / $457.33	Professional		$278.29	$338.25	$457.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $104.45 / $126.73	Professional	26	$75.45	$104.45	$126.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $202.83 / $242.46 / $337.20	Professional	TC	$202.83	$242.46	$337.20
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $62.04 / $115.72	Professional	26	$58.34	$62.04	$115.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.32 / $236.46 / $588.11	Professional		$127.32	$236.46	$588.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.88 / $71.79 / $130.41	Professional	26	$41.88	$71.79	$130.41
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $301.29 / $301.29 / $301.29	Professional	50	$301.29	$301.29	$301.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.45 / $158.69 / $454.62	Professional	TC	$85.45	$158.69	$454.62
United Facility/Professional Professional Modifier Low / Median / High Price $174.23 / $271.77 / $654.91	Professional		$174.23	$271.77	$654.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.38 / $73.00 / $110.50	Professional	26	$54.38	$73.00	$110.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $119.85 / $180.58 / $428.87	Professional	TC	$119.85	$180.58	$428.87