Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.44 / $120.00 / $174.88	Facility	26	$106.44	$120.00	$174.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $550.00 / $839.75	Professional		$402.08	$550.00	$839.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $131.19 / $213.25	Professional	26	$110.00	$131.19	$213.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $419.87 / $491.41	Professional	TC	$282.87	$419.87	$491.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $256.62 / $301.91 / $328.65	Professional		$256.62	$301.91	$328.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $97.49 / $109.49 / $212.02	Professional	26	$97.49	$109.49	$212.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $261.66 / $261.66 / $261.66	Professional	TC	$261.66	$261.66	$261.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.19 / $585.40 / $929.99	Professional		$465.19	$585.40	$929.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.72 / $168.56 / $206.37	Professional	26	$121.72	$168.56	$206.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $343.47 / $410.60 / $723.62	Professional	TC	$343.47	$410.60	$723.62
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $95.07 / $100.32 / $202.61	Professional	26	$95.07	$100.32	$202.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.34 / $418.43 / $925.07	Professional		$211.34	$418.43	$925.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.23 / $126.73 / $208.39	Professional	26	$68.23	$126.73	$208.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.10 / $288.18 / $804.71	Professional	TC	$143.10	$288.18	$804.71
United Facility/Professional Professional Modifier Low / Median / High Price $337.75 / $476.82 / $1,151.55	Professional		$337.75	$476.82	$1,151.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.56 / $118.08 / $176.26	Professional	26	$90.56	$118.08	$176.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.92 / $342.56 / $1,067.52	Professional	TC	$244.92	$342.56	$1,067.52