Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $443.99 / $670.44 / $737.49	Facility	26	$443.99	$670.44	$737.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.42 / $2,693.27 / $3,143.85	Professional		$1,889.42	$2,693.27	$3,143.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $347.37 / $618.67 / $737.49	Professional	26	$347.37	$618.67	$737.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,542.03 / $2,074.59 / $2,474.75	Professional	TC	$1,542.03	$2,074.59	$2,474.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,069.66 / $2,069.66 / $2,069.66	Professional		$2,069.66	$2,069.66	$2,069.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $329.46 / $464.17 / $650.22	Professional	26	$329.46	$464.17	$650.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,094.46 / $2,668.53 / $3,474.20	Professional		$2,094.46	$2,668.53	$3,474.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $490.24 / $642.52 / $761.38	Professional	26	$490.24	$642.52	$761.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,604.22 / $2,026.01 / $2,727.73	Professional	TC	$1,604.22	$2,026.01	$2,727.73
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $385.28 / $422.47 / $422.47	Professional	26	$385.28	$422.47	$422.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.34 / $1,870.78 / $3,120.57	Professional		$1,180.34	$1,870.78	$3,120.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $287.67 / $434.10 / $733.30	Professional	26	$287.67	$434.10	$733.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $892.68 / $1,436.68 / $2,432.85	Professional	TC	$892.68	$1,436.68	$2,432.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,261.75 / $2,106.96 / $3,414.17	Professional		$1,261.75	$2,106.96	$3,414.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $325.45 / $438.07 / $722.71	Professional	26	$325.45	$438.07	$722.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $910.63 / $1,604.12 / $2,850.90	Professional	TC	$910.63	$1,604.12	$2,850.90