Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $100.00 / $128.82	Facility	26	$89.13	$100.00	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $478.63	Professional		$186.21	$251.19	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $89.13 / $190.55	Professional	26	$64.57	$89.13	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $162.18 / $338.84	Professional	TC	$123.03	$162.18	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $263.03	Professional		$239.88	$239.88	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $60.26 / $69.18	Professional	26	$57.54	$60.26	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $426.58	Professional		$275.42	$323.59	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $104.71 / $134.90	Professional	26	$83.18	$104.71	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $223.87 / $281.84	Professional	TC	$190.55	$223.87	$281.84
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $75.86 / $79.43	Professional	26	$72.44	$75.86	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $478.63	Professional		$154.88	$251.19	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $81.28 / $151.36	Professional	26	$53.70	$81.28	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $158.49 / $316.23	Professional	TC	$100.00	$158.49	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $1,071.52	Professional		$223.87	$354.81	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $81.28 / $123.03	Professional	26	$64.57	$81.28	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $218.78 / $812.83	Professional	TC	$147.91	$218.78	$812.83