Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $66.00 / $139.43	Facility	26	$60.00	$66.00	$139.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.46 / $300.00 / $376.75	Professional		$191.46	$300.00	$376.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $77.20 / $170.01	Professional	26	$60.00	$77.20	$170.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.98 / $181.42 / $240.00	Professional	TC	$111.98	$181.42	$240.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $166.32 / $173.44	Professional		$121.75	$166.32	$173.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.42 / $76.78 / $90.08	Professional	26	$61.42	$76.78	$90.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.59 / $305.41 / $389.57	Professional		$245.59	$305.41	$389.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.44 / $133.53 / $160.08	Professional	26	$96.44	$133.53	$160.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $149.15 / $171.88 / $229.49	Professional	TC	$149.15	$171.88	$229.49
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $74.86 / $78.91 / $124.20	Professional	26	$74.86	$78.91	$124.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $207.55 / $364.65	Professional		$116.43	$207.55	$364.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.74 / $90.99 / $165.99	Professional	26	$53.74	$90.99	$165.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.68 / $107.46 / $215.84	Professional	TC	$62.68	$107.46	$215.84
United Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $214.65 / $352.36	Professional		$150.04	$214.65	$352.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.92 / $95.38 / $157.16	Professional	26	$68.92	$95.38	$157.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.32 / $118.98 / $197.87	Professional	TC	$85.32	$118.98	$197.87