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 / $145.59	Facility	26	$60.00	$66.00	$145.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $320.00 / $629.09	Professional		$300.00	$320.00	$629.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $82.45 / $182.94	Professional	26	$60.00	$82.45	$182.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.00 / $240.00 / $415.80	Professional	TC	$227.00	$240.00	$415.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.91 / $282.63 / $293.05	Professional		$211.91	$282.63	$293.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.68 / $90.83 / $160.03	Professional	26	$64.68	$90.83	$160.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $241.19 / $241.19 / $241.19	Professional	TC	$241.19	$241.19	$241.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.35 / $505.03 / $581.15	Professional		$415.35	$505.03	$581.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.76 / $139.54 / $167.14	Professional	26	$100.76	$139.54	$167.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $309.83 / $359.78 / $414.01	Professional	TC	$309.83	$359.78	$414.01
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $78.84 / $82.82 / $237.92	Professional	26	$78.84	$82.82	$237.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $323.14 / $600.16	Professional		$188.50	$323.14	$600.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.60 / $95.32 / $173.94	Professional	26	$56.60	$95.32	$173.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.90 / $217.86 / $426.70	Professional	TC	$131.90	$217.86	$426.70
United Facility/Professional Professional Modifier Low / Median / High Price $229.20 / $337.31 / $563.53	Professional		$229.20	$337.31	$563.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.25 / $95.19 / $157.50	Professional	26	$72.25	$95.19	$157.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $156.34 / $232.89 / $444.82	Professional	TC	$156.34	$232.89	$444.82