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 / $159.65	Facility	26	$60.00	$66.00	$159.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $385.42 / $704.06	Professional		$300.00	$385.42	$704.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $84.53 / $185.97	Professional	26	$60.00	$84.53	$185.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.00 / $277.70 / $468.96	Professional	TC	$240.00	$277.70	$468.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.65 / $301.39 / $332.31	Professional		$222.65	$301.39	$332.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.34 / $99.58 / $175.59	Professional	26	$87.34	$99.58	$175.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.46 / $566.96 / $676.29	Professional		$469.46	$566.96	$676.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.05 / $153.80 / $184.56	Professional	26	$111.05	$153.80	$184.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $358.41 / $413.15 / $491.73	Professional	TC	$358.41	$413.15	$491.73
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $86.50 / $91.73 / $227.30	Professional	26	$86.50	$91.73	$227.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.98 / $361.68 / $671.73	Professional		$210.98	$361.68	$671.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.10 / $104.59 / $190.71	Professional	26	$62.10	$104.59	$190.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $148.88 / $255.23 / $498.62	Professional	TC	$148.88	$255.23	$498.62
United Facility/Professional Professional Modifier Low / Median / High Price $276.06 / $405.50 / $673.79	Professional		$276.06	$405.50	$673.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.98 / $106.66 / $172.61	Professional	26	$79.98	$106.66	$172.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.67 / $286.20 / $477.48	Professional	TC	$196.67	$286.20	$477.48