Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $64.00 / $138.19	Facility	26	$60.00	$64.00	$138.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $300.00 / $407.51	Professional		$224.96	$300.00	$407.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $73.00 / $126.73	Professional	26	$60.00	$73.00	$126.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.26 / $240.00 / $259.95	Professional	TC	$157.26	$240.00	$259.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $85.20 / $186.42	Professional	26	$60.27	$85.20	$186.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $379.27 / $515.40	Professional		$309.70	$379.27	$515.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.01 / $133.03 / $155.75	Professional	26	$96.01	$133.03	$155.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.69 / $246.24 / $359.66	Professional	TC	$213.69	$246.24	$359.66
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $74.56 / $79.27 / $84.26	Professional	26	$74.56	$79.27	$84.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $256.22 / $455.55	Professional		$143.38	$256.22	$455.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.55 / $90.58 / $165.78	Professional	26	$53.55	$90.58	$165.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.83 / $166.84 / $305.49	Professional	TC	$89.83	$166.84	$305.49
United Facility/Professional Professional Modifier Low / Median / High Price $209.66 / $274.70 / $463.91	Professional		$209.66	$274.70	$463.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.04 / $92.46 / $149.63	Professional	26	$65.04	$92.46	$149.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.41 / $175.70 / $339.07	Professional	TC	$140.41	$175.70	$339.07