Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.58 / $131.97 / $145.18	Facility	26	$86.58	$131.97	$145.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.64 / $699.12 / $785.46	Professional		$481.64	$699.12	$785.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $121.86 / $145.18	Professional	26	$67.73	$121.86	$145.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $413.91 / $577.27 / $654.83	Professional	TC	$413.91	$577.27	$654.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $490.28 / $490.28 / $490.28	Professional		$490.28	$490.28	$490.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.30 / $90.52 / $98.39	Professional	26	$64.30	$90.52	$98.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.52 / $681.51 / $897.68	Professional		$506.52	$681.51	$897.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.17 / $126.00 / $148.52	Professional	26	$96.17	$126.00	$148.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $410.35 / $560.07 / $752.07	Professional	TC	$410.35	$560.07	$752.07
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $75.16 / $83.08 / $83.08	Professional	26	$75.16	$83.08	$83.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.61 / $459.64 / $818.76	Professional		$279.61	$459.64	$818.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.12 / $85.05 / $144.35	Professional	26	$56.12	$85.05	$144.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.50 / $367.39 / $693.51	Professional	TC	$223.50	$367.39	$693.51
United Facility/Professional Professional Modifier Low / Median / High Price $299.24 / $518.27 / $789.23	Professional		$299.24	$518.27	$789.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.71 / $88.69 / $143.22	Professional	26	$60.71	$88.69	$143.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $235.65 / $438.60 / $687.18	Professional	TC	$235.65	$438.60	$687.18