Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $363.08 / $398.11	Facility	26	$245.47	$363.08	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $812.83	Professional		$380.19	$501.19	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $288.40 / $602.56	Professional	26	$186.21	$288.40	$602.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $269.15 / $426.58	Professional	TC	$190.55	$269.15	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $707.95	Professional		$346.74	$489.78	$707.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $190.55 / $269.15	Professional	26	$173.78	$190.55	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $776.25	Professional		$537.03	$676.08	$776.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $331.13 / $389.05	Professional	26	$263.03	$331.13	$389.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $346.74 / $389.05	Professional	TC	$275.42	$346.74	$389.05
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $229.09 / $229.09	Professional	26	$39.81	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $831.76	Professional		$331.13	$537.03	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $251.19 / $398.11	Professional	26	$158.49	$251.19	$398.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $263.03 / $446.68	Professional	TC	$169.82	$263.03	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $758.58	Professional		$380.19	$489.78	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $234.42 / $346.74	Professional	26	$173.78	$234.42	$346.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $251.19 / $389.05	Professional	TC	$204.17	$251.19	$389.05