Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.07 / $64.81 / $83.58	Facility	26	$52.07	$64.81	$83.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $423.46 / $577.42	Professional		$318.73	$423.46	$577.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.85 / $62.19 / $76.72	Professional	26	$45.85	$62.19	$76.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.87 / $361.27 / $500.71	Professional	TC	$272.87	$361.27	$500.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.42 / $293.42 / $293.42	Professional		$293.42	$293.42	$293.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.07 / $52.07 / $52.07	Professional	26	$52.07	$52.07	$52.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.88 / $429.36 / $613.98	Professional		$392.88	$429.36	$613.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.52 / $75.19 / $94.86	Professional	26	$62.52	$75.19	$94.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $334.33 / $382.50 / $519.12	Professional	TC	$334.33	$382.50	$519.12
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $45.30 / $49.14 / $49.14	Professional	26	$45.30	$49.14	$49.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.12 / $341.11 / $673.85	Professional		$195.12	$341.11	$673.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.92 / $51.40 / $104.25	Professional	26	$30.92	$51.40	$104.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.20 / $288.41 / $569.59	Professional	TC	$164.20	$288.41	$569.59
United Facility/Professional Professional Modifier Low / Median / High Price $262.33 / $401.32 / $605.74	Professional		$262.33	$401.32	$605.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.80 / $55.82 / $92.74	Professional	26	$44.80	$55.82	$92.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.71 / $347.55 / $736.04	Professional	TC	$213.71	$347.55	$736.04