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 / $204.17	Facility	26	$109.65	$120.23	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $891.25	Professional		$371.54	$478.63	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $162.18 / $338.84	Professional	26	$109.65	$162.18	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $338.84 / $537.03	Professional	TC	$251.19	$338.84	$537.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $117.49 / $190.55	Professional	26	$93.33	$117.49	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $707.95	Professional		$457.09	$537.03	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $169.82 / $218.78	Professional	26	$134.90	$169.82	$218.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $380.19 / $512.86	Professional	TC	$323.59	$380.19	$512.86
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $120.23 / $120.23	Professional	26	$114.82	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $870.96	Professional		$263.03	$457.09	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $131.83 / $245.47	Professional	26	$85.11	$131.83	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $302.00 / $616.60	Professional	TC	$173.78	$302.00	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $851.14	Professional		$316.23	$467.74	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $128.82 / $194.98	Professional	26	$102.33	$128.82	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $323.59 / $616.60	Professional	TC	$218.78	$323.59	$616.60