Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.33 / $93.15 / $103.76	Facility	26	$85.33	$93.15	$103.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.43 / $513.29 / $717.38	Professional		$433.43	$513.29	$717.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $93.15 / $134.86	Professional	26	$67.62	$93.15	$134.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $365.81 / $420.15 / $601.36	Professional	TC	$365.81	$420.15	$601.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $366.83 / $495.22 / $495.22	Professional		$366.83	$495.22	$495.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.95 / $69.95 / $141.51	Professional	26	$69.95	$69.95	$141.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.60 / $562.37 / $861.22	Professional		$490.60	$562.37	$861.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.02 / $113.07 / $143.56	Professional	26	$88.02	$113.07	$143.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $402.58 / $457.94 / $717.65	Professional	TC	$402.58	$457.94	$717.65
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $68.17 / $78.86 / $78.86	Professional	26	$68.17	$78.86	$78.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.94 / $452.36 / $1,017.12	Professional		$243.94	$452.36	$1,017.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.52 / $75.84 / $164.27	Professional	26	$46.52	$75.84	$164.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.43 / $357.21 / $832.53	Professional	TC	$197.43	$357.21	$832.53
United Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $522.00 / $980.40	Professional		$411.98	$522.00	$980.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.79 / $94.73 / $141.44	Professional	26	$62.79	$94.73	$141.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $343.26 / $427.27 / $646.26	Professional	TC	$343.26	$427.27	$646.26