Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.68 / $60.00 / $94.77	Facility	26	$58.68	$60.00	$94.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.09 / $268.77 / $320.00	Professional		$148.09	$268.77	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $60.00 / $110.26	Professional	26	$51.28	$60.00	$110.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.29 / $195.40 / $240.00	Professional	TC	$89.29	$195.40	$240.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.27 / $51.58 / $61.38	Professional	26	$41.27	$51.58	$61.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.22 / $227.66 / $277.95	Professional		$184.22	$227.66	$277.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.98 / $91.38 / $109.75	Professional	26	$65.98	$91.38	$109.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $118.23 / $136.29 / $171.56	Professional	TC	$118.23	$136.29	$171.56
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $51.03 / $51.03 / $54.12	Professional	26	$51.03	$51.03	$54.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $159.94 / $325.89	Professional		$86.13	$159.94	$325.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.63 / $66.47 / $114.16	Professional	26	$36.63	$66.47	$114.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.49 / $91.92 / $232.25	Professional	TC	$49.49	$91.92	$232.25
United Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $174.32 / $380.97	Professional		$114.44	$174.32	$380.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.52 / $63.56 / $100.74	Professional	26	$46.52	$63.56	$100.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.26 / $101.06 / $201.17	Professional	TC	$67.26	$101.06	$201.17