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 / $173.78	Facility	26	$60.26	$64.57	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $851.14	Professional		$302.00	$436.52	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $114.82 / $346.74	Professional	26	$60.26	$114.82	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $302.00 / $489.78	Professional	TC	$218.78	$302.00	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $407.38	Professional		$331.13	$346.74	$407.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $100.00 / $162.18	Professional	26	$79.43	$100.00	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $691.83	Professional		$478.63	$562.34	$691.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $144.54 / $186.21	Professional	26	$114.82	$144.54	$186.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $426.58 / $512.86	Professional	TC	$363.08	$426.58	$512.86
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $95.50 / $100.00	Professional	26	$95.50	$95.50	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $870.96	Professional		$257.04	$416.87	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $107.15 / $208.93	Professional	26	$74.13	$107.15	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $309.03 / $616.60	Professional	TC	$177.83	$309.03	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $776.25	Professional		$323.59	$457.09	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $112.20 / $177.83	Professional	26	$85.11	$112.20	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $331.13 / $588.84	Professional	TC	$239.88	$331.13	$588.84