Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.75 / $169.71 / $183.28	Facility	26	$156.75	$169.71	$183.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $636.80 / $731.20	Professional		$393.25	$636.80	$731.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $156.75 / $186.68	Professional	26	$90.71	$156.75	$186.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.52 / $480.06 / $544.52	Professional	TC	$302.52	$480.06	$544.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $450.91 / $450.91	Professional		$450.91	$450.91	$450.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $115.67 / $115.67 / $115.67	Professional	26	$115.67	$115.67	$115.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.68 / $619.92 / $766.52	Professional		$463.68	$619.92	$766.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.80 / $160.97 / $190.70	Professional	26	$122.80	$160.97	$190.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $340.88 / $465.23 / $579.55	Professional	TC	$340.88	$465.23	$579.55
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $96.06 / $106.55 / $106.55	Professional	26	$96.06	$106.55	$106.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.16 / $426.58 / $744.78	Professional		$257.16	$426.58	$744.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.73 / $108.27 / $204.29	Professional	26	$71.73	$108.27	$204.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.43 / $318.31 / $591.73	Professional	TC	$185.43	$318.31	$591.73
United Facility/Professional Professional Modifier Low / Median / High Price $341.82 / $460.86 / $721.34	Professional		$341.82	$460.86	$721.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.73 / $110.89 / $184.17	Professional	26	$81.73	$110.89	$184.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $247.50 / $351.51 / $537.16	Professional	TC	$247.50	$351.51	$537.16