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 / $118.61	Facility	26	$60.00	$64.00	$118.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $330.19 / $570.95	Professional		$300.00	$330.19	$570.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $100.31 / $200.12	Professional	26	$60.00	$100.31	$200.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.78 / $240.00 / $373.84	Professional	TC	$183.78	$240.00	$373.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $391.73 / $391.73 / $391.73	Professional		$391.73	$391.73	$391.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.04 / $124.00 / $257.37	Professional	26	$104.04	$124.00	$257.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.58 / $470.53 / $606.30	Professional		$381.58	$470.53	$606.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.94 / $182.83 / $214.42	Professional	26	$131.94	$182.83	$214.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.63 / $287.70 / $391.88	Professional	TC	$249.63	$287.70	$391.88
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $103.03 / $109.26 / $118.25	Professional	26	$103.03	$109.26	$118.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.12 / $377.23 / $706.10	Professional		$203.12	$377.23	$706.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.97 / $119.13 / $225.85	Professional	26	$73.97	$119.13	$225.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.16 / $250.27 / $503.85	Professional	TC	$129.16	$250.27	$503.85
United Facility/Professional Professional Modifier Low / Median / High Price $307.38 / $418.02 / $801.49	Professional		$307.38	$418.02	$801.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.11 / $124.53 / $193.44	Professional	26	$89.11	$124.53	$193.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $207.98 / $269.16 / $520.83	Professional	TC	$207.98	$269.16	$520.83