Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.44 / $110.00 / $121.00	Facility	26	$71.44	$110.00	$121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $475.00 / $600.00	Professional		$259.83	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.03 / $110.00 / $149.93	Professional	26	$84.03	$110.00	$149.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.09 / $335.00 / $440.00	Professional	TC	$179.09	$335.00	$440.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $129.11 / $129.11	Professional		$129.11	$129.11	$129.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.30 / $72.13 / $127.21	Professional	26	$63.30	$72.13	$127.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.56 / $338.47 / $603.19	Professional		$267.56	$338.47	$603.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.06 / $112.20 / $133.59	Professional	26	$81.06	$112.20	$133.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.50 / $222.92 / $469.60	Professional	TC	$186.50	$222.92	$469.60
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $62.66 / $62.66 / $65.72	Professional	26	$62.66	$62.66	$65.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $241.76 / $592.79	Professional		$122.83	$241.76	$592.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.99 / $81.45 / $140.72	Professional	26	$44.99	$81.45	$140.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.84 / $159.76 / $494.32	Professional	TC	$77.84	$159.76	$494.32
United Facility/Professional Professional Modifier Low / Median / High Price $201.07 / $274.57 / $608.16	Professional		$201.07	$274.57	$608.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.31 / $77.70 / $120.12	Professional	26	$58.31	$77.70	$120.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.27 / $189.04 / $570.91	Professional	TC	$135.27	$189.04	$570.91