Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.05 / $72.05 / $93.81	Facility	26	$58.05	$72.05	$93.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.02 / $386.60 / $428.09	Professional		$330.02	$386.60	$428.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $69.12 / $75.56	Professional	26	$49.03	$69.12	$75.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $280.99 / $317.48 / $360.35	Professional	TC	$280.99	$317.48	$360.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.06 / $288.06 / $288.06	Professional		$288.06	$288.06	$288.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.96 / $399.11 / $632.57	Professional		$374.96	$399.11	$632.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.45 / $83.74 / $107.12	Professional	26	$70.45	$83.74	$107.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $297.73 / $340.60 / $525.44	Professional	TC	$297.73	$340.60	$525.44
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $50.48 / $50.48	Professional	26	$40.00	$50.48	$50.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.78 / $337.47 / $696.04	Professional		$181.78	$337.47	$696.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.45 / $56.32 / $117.41	Professional	26	$34.45	$56.32	$117.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.33 / $265.77 / $578.63	Professional	TC	$147.33	$265.77	$578.63
United Facility/Professional Professional Modifier Low / Median / High Price $295.42 / $373.55 / $605.63	Professional		$295.42	$373.55	$605.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.94 / $61.75 / $96.45	Professional	26	$48.94	$61.75	$96.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.52 / $305.32 / $539.11	Professional	TC	$259.52	$305.32	$539.11