Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $64.00 / $101.59	Facility	26	$60.00	$64.00	$101.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.51 / $300.00 / $461.08	Professional		$246.51	$300.00	$461.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $60.00 / $117.92	Professional	26	$54.86	$60.00	$117.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.12 / $240.00 / $333.10	Professional	TC	$178.12	$240.00	$333.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $151.77 / $216.81	Professional		$151.77	$151.77	$216.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.24 / $65.73 / $111.06	Professional	26	$57.24	$65.73	$111.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.75 / $373.97 / $430.33	Professional		$320.75	$373.97	$430.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.76 / $97.93 / $116.79	Professional	26	$70.76	$97.93	$116.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.99 / $277.49 / $317.52	Professional	TC	$249.99	$277.49	$317.52
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $54.70 / $57.76 / $152.77	Professional	26	$54.70	$57.76	$152.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $266.76 / $462.42	Professional		$143.63	$266.76	$462.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.27 / $71.20 / $121.99	Professional	26	$39.27	$71.20	$121.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.37 / $190.14 / $366.58	Professional	TC	$104.37	$190.14	$366.58
United Facility/Professional Professional Modifier Low / Median / High Price $175.83 / $278.95 / $498.67	Professional		$175.83	$278.95	$498.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $68.76 / $109.98	Professional	26	$50.12	$68.76	$109.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.80 / $204.45 / $378.76	Professional	TC	$130.80	$204.45	$378.76