Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $67.61 / $144.54	Facility	26	$60.26	$67.61	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $537.03	Professional		$218.78	$302.00	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $93.33 / $208.93	Professional	26	$60.26	$93.33	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $218.78 / $380.19	Professional	TC	$158.49	$218.78	$380.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $67.61 / $79.43	Professional	26	$64.57	$67.61	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $512.86	Professional		$323.59	$389.05	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $120.23 / $158.49	Professional	26	$93.33	$120.23	$158.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $269.15 / $363.08	Professional	TC	$223.87	$269.15	$363.08
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $83.18 / $83.18	Professional	26	$39.81	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $707.95	Professional		$208.93	$346.74	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $93.33 / $173.78	Professional	26	$60.26	$93.33	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $245.47 / $501.19	Professional	TC	$147.91	$245.47	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $676.08	Professional		$251.19	$363.08	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $144.54	Professional	26	$70.79	$93.33	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $257.04 / $489.78	Professional	TC	$173.78	$257.04	$489.78