Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $64.57 / $112.20	Facility	26	$60.26	$64.57	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $512.86	Professional		$208.93	$302.00	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.86 / $208.93	Professional	26	$54.95	$75.86	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $213.80 / $354.81	Professional	TC	$147.91	$213.80	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $257.04	Professional		$154.88	$181.97	$257.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $50.12 / $93.33	Professional	26	$44.67	$50.12	$93.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $190.55 / $190.55	Professional	TC	$190.55	$190.55	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $426.58	Professional		$295.12	$346.74	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $107.15	Professional	26	$66.07	$83.18	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $269.15 / $302.00	Professional	TC	$229.09	$269.15	$302.00
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $57.54 / $151.36	Professional	26	$56.23	$57.54	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $501.19	Professional		$162.18	$269.15	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $66.07 / $123.03	Professional	26	$42.66	$66.07	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $190.55 / $389.05	Professional	TC	$114.82	$190.55	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $467.74	Professional		$181.97	$275.42	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $64.57 / $102.33	Professional	26	$48.98	$64.57	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $194.98 / $363.08	Professional	TC	$128.82	$194.98	$363.08