Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $251.19 / $269.15	Facility	26	$223.87	$251.19	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $741.31	Professional		$218.78	$309.03	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $186.21 / $501.19	Professional	26	$125.89	$186.21	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $147.91 / $218.78	Professional	TC	$107.15	$147.91	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $181.97	Professional	26	$154.88	$154.88	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $478.63	Professional		$331.13	$416.87	$478.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $223.87 / $263.03	Professional	26	$177.83	$223.87	$263.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $190.55 / $218.78	Professional	TC	$151.36	$190.55	$218.78
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $154.88 / $154.88	Professional	26	$39.81	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $478.63	Professional		$199.53	$316.23	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $169.82 / $269.15	Professional	26	$107.15	$169.82	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $141.25 / $218.78	Professional	TC	$89.13	$141.25	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $467.74	Professional		$218.78	$295.12	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $158.49 / $234.42	Professional	26	$117.49	$158.49	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $131.83 / $190.55	Professional	TC	$100.00	$131.83	$190.55