Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.72 / $141.38 / $183.36	Facility	26	$111.72	$141.38	$183.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.68 / $454.80 / $615.62	Professional		$304.68	$454.80	$615.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.67 / $140.00 / $177.09	Professional	26	$90.67	$140.00	$177.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.01 / $312.27 / $413.49	Professional	TC	$214.01	$312.27	$413.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.50 / $120.01 / $248.87	Professional	26	$100.50	$120.01	$248.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.68 / $540.37 / $724.38	Professional		$470.68	$540.37	$724.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $127.67 / $163.66 / $210.43	Professional	26	$127.67	$163.66	$210.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $334.99 / $395.40 / $513.95	Professional	TC	$334.99	$395.40	$513.95
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $99.65 / $104.62 / $114.80	Professional	26	$99.65	$104.62	$114.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $397.84 / $680.89	Professional		$214.22	$397.84	$680.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.53 / $119.64 / $218.63	Professional	26	$71.53	$119.64	$218.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.69 / $264.39 / $460.00	Professional	TC	$142.69	$264.39	$460.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.26 / $484.61 / $1,140.05	Professional		$343.26	$484.61	$1,140.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.39 / $117.65 / $176.58	Professional	26	$68.39	$117.65	$176.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.84 / $343.43 / $795.61	Professional	TC	$251.84	$343.43	$795.61