Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $120.00 / $204.65	Facility	26	$110.00	$120.00	$204.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $550.00 / $763.07	Professional		$402.08	$550.00	$763.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $140.00 / $213.27	Professional	26	$110.00	$140.00	$213.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $431.51 / $513.07	Professional	TC	$282.87	$431.51	$513.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $133.87 / $133.87 / $188.31	Professional	26	$133.87	$133.87	$188.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.69 / $607.00 / $775.63	Professional		$497.69	$607.00	$775.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $142.55 / $182.97 / $233.97	Professional	26	$142.55	$182.97	$233.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $355.14 / $409.40 / $541.64	Professional	TC	$355.14	$409.40	$541.64
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $111.27 / $118.52 / $121.18	Professional	26	$111.27	$118.52	$121.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.18 / $420.05 / $862.59	Professional		$226.18	$420.05	$862.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.89 / $136.96 / $244.52	Professional	26	$79.89	$136.96	$244.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.29 / $276.81 / $609.60	Professional	TC	$146.29	$276.81	$609.60
United Facility/Professional Professional Modifier Low / Median / High Price $312.02 / $485.82 / $905.32	Professional		$312.02	$485.82	$905.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.99 / $135.44 / $205.21	Professional	26	$101.99	$135.44	$205.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.04 / $340.75 / $723.13	Professional	TC	$210.04	$340.75	$723.13