Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $64.57 / $190.55	Facility	26	$60.26	$64.57	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $354.81	Professional		$186.21	$263.03	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $117.49 / $239.88	Professional	26	$60.26	$117.49	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $125.89 / $239.88	Professional	TC	$97.72	$125.89	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	TC	$223.87	$223.87	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $398.11	Professional		$263.03	$316.23	$398.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $158.49 / $204.17	Professional	26	$123.03	$158.49	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $158.49 / $204.17	Professional	TC	$134.90	$158.49	$204.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $109.65 / $109.65	Professional	26	$39.81	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $831.76	Professional		$263.03	$446.68	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $114.82 / $229.09	Professional	26	$75.86	$114.82	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $316.23 / $602.56	Professional	TC	$190.55	$316.23	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $741.31	Professional		$338.84	$478.63	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $123.03 / $186.21	Professional	26	$87.10	$123.03	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $346.74 / $549.54	Professional	TC	$245.47	$346.74	$549.54