Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $120.23 / $144.54	Facility	26	$109.65	$120.23	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $812.83	Professional		$331.13	$467.74	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $125.89 / $213.80	Professional	26	$83.18	$125.89	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $588.84	Professional	TC	$257.04	$338.84	$588.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $691.83	Professional		$446.68	$512.86	$691.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $117.49 / $151.36	Professional	26	$97.72	$117.49	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $398.11 / $549.54	Professional	TC	$346.74	$398.11	$549.54
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $83.18 / $83.18	Professional	26	$39.81	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $812.83	Professional		$239.88	$416.87	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $177.83	Professional	26	$58.88	$93.33	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $323.59 / $630.96	Professional	TC	$177.83	$323.59	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $741.31	Professional		$302.00	$436.52	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $138.04	Professional	26	$70.79	$91.20	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $323.59 / $537.03	Professional	TC	$223.87	$323.59	$537.03