Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $68.72 / $111.15	Facility	26	$60.00	$68.72	$111.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.79 / $320.00 / $477.23	Professional		$258.79	$320.00	$477.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $64.00 / $129.66	Professional	26	$60.00	$64.00	$129.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.20 / $240.00 / $346.55	Professional	TC	$187.20	$240.00	$346.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.24 / $218.24 / $218.24	Professional		$218.24	$218.24	$218.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.44 / $68.92 / $149.72	Professional	26	$61.44	$68.92	$149.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $395.44 / $496.96	Professional		$327.45	$395.44	$496.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.45 / $107.27 / $128.46	Professional	26	$77.45	$107.27	$128.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.99 / $288.18 / $375.14	Professional	TC	$249.99	$288.18	$375.14
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $59.90 / $63.40 / $202.53	Professional	26	$59.90	$63.40	$202.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.35 / $299.64 / $568.54	Professional		$161.35	$299.64	$568.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.01 / $78.27 / $133.90	Professional	26	$43.01	$78.27	$133.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.34 / $217.00 / $435.29	Professional	TC	$118.34	$217.00	$435.29
United Facility/Professional Professional Modifier Low / Median / High Price $205.19 / $322.36 / $601.71	Professional		$205.19	$322.36	$601.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.87 / $74.72 / $118.10	Professional	26	$53.87	$74.72	$118.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.46 / $235.86 / $442.78	Professional	TC	$137.46	$235.86	$442.78