Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $97.72 / $104.71	Facility	26	$87.10	$97.72	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,071.52	Professional		$323.59	$501.19	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $79.43 / $208.93	Professional	26	$48.98	$79.43	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $416.87 / $630.96	Professional	TC	$288.40	$416.87	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $489.78	Professional		$302.00	$331.13	$489.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $69.18 / $93.33	Professional	26	$56.23	$69.18	$93.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	TC	$281.84	$281.84	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $645.65	Professional		$489.78	$537.03	$645.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $112.20 / $125.89	Professional	26	$89.13	$112.20	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $436.52 / $512.86	Professional	TC	$398.11	$436.52	$512.86
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $77.62 / $77.62	Professional	26	$39.81	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $1,023.29	Professional		$245.47	$478.63	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $81.28 / $165.96	Professional	26	$46.77	$81.28	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $380.19 / $831.76	Professional	TC	$199.53	$380.19	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $794.33	Professional		$389.05	$512.86	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $89.13 / $141.25	Professional	26	$64.57	$89.13	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $407.38 / $645.65	Professional	TC	$295.12	$407.38	$645.65