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 / $166.45	Facility	26	$60.00	$64.00	$166.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.45 / $326.92 / $569.65	Professional		$299.45	$326.92	$569.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $104.37 / $220.66	Professional	26	$60.00	$104.37	$220.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.82 / $240.00 / $350.63	Professional	TC	$183.82	$240.00	$350.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $270.63 / $270.63 / $270.63	Professional		$270.63	$270.63	$270.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.87 / $117.69 / $207.32	Professional	26	$83.87	$117.69	$207.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.48 / $475.67 / $732.00	Professional		$381.48	$475.67	$732.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.38 / $181.96 / $216.66	Professional	26	$131.38	$181.96	$216.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $250.10 / $298.93 / $515.34	Professional	TC	$250.10	$298.93	$515.34
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $102.20 / $108.26 / $234.07	Professional	26	$102.20	$108.26	$234.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $439.25 / $858.25	Professional		$256.41	$439.25	$858.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.39 / $123.89 / $224.95	Professional	26	$73.39	$123.89	$224.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $183.02 / $313.74 / $678.90	Professional	TC	$183.02	$313.74	$678.90
United Facility/Professional Professional Modifier Low / Median / High Price $326.87 / $495.84 / $890.40	Professional		$326.87	$495.84	$890.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.70 / $127.56 / $203.93	Professional	26	$91.70	$127.56	$203.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $232.28 / $362.85 / $681.56	Professional	TC	$232.28	$362.85	$681.56