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 / $174.52	Facility	26	$60.00	$64.00	$174.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $429.27 / $689.79	Professional		$300.00	$429.27	$689.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $93.92 / $218.66	Professional	26	$60.00	$93.92	$218.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.00 / $309.02 / $532.20	Professional	TC	$240.00	$309.02	$532.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $95.61 / $109.24 / $212.63	Professional	26	$95.61	$109.24	$212.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.23 / $633.57 / $889.70	Professional		$525.23	$633.57	$889.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.43 / $168.12 / $201.47	Professional	26	$121.43	$168.12	$201.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $403.80 / $465.45 / $688.24	Professional	TC	$403.80	$465.45	$688.24
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $94.82 / $94.82 / $99.68	Professional	26	$94.82	$94.82	$99.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $413.04 / $820.61	Professional		$237.12	$413.04	$820.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.06 / $112.80 / $208.09	Professional	26	$68.06	$112.80	$208.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.05 / $289.80 / $616.59	Professional	TC	$169.05	$289.80	$616.59
United Facility/Professional Professional Modifier Low / Median / High Price $298.51 / $469.73 / $874.33	Professional		$298.51	$469.73	$874.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.72 / $115.34 / $188.74	Professional	26	$85.72	$115.34	$188.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.63 / $338.80 / $627.22	Professional	TC	$239.63	$338.80	$627.22