Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $457.09 / $676.08 / $741.31	Facility	26	$457.09	$676.08	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $5,011.87	Professional		$1,479.11	$2,137.96	$5,011.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $512.86 / $1,445.44	Professional	26	$346.74	$512.86	$1,445.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,122.02 / $1,584.89 / $2,398.83	Professional	TC	$1,122.02	$1,584.89	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,754.23	Professional		$1,380.38	$1,995.26	$2,754.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $331.13 / $363.08 / $501.19	Professional	26	$331.13	$363.08	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,019.95	Professional		$2,089.30	$2,630.27	$3,019.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $489.78 / $616.60 / $724.44	Professional	26	$489.78	$616.60	$724.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,621.81 / $1,995.26 / $2,290.87	Professional	TC	$1,621.81	$1,995.26	$2,290.87
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $426.58 / $426.58	Professional	26	$39.81	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,090.30	Professional		$1,258.93	$1,949.84	$3,090.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $295.12 / $478.63 / $741.31	Professional	26	$295.12	$478.63	$741.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $977.24 / $1,513.56 / $2,398.83	Professional	TC	$977.24	$1,513.56	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,691.53	Professional		$1,258.93	$1,949.84	$2,691.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $323.59 / $436.52 / $645.65	Professional	26	$323.59	$436.52	$645.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $912.01 / $1,513.56 / $2,187.76	Professional	TC	$912.01	$1,513.56	$2,187.76