Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.34 / $57.34 / $57.34	Facility	26	$57.34	$57.34	$57.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.48 / $581.42 / $4,067.88	Professional		$387.48	$581.42	$4,067.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.52 / $55.63 / $88.04	Professional	26	$35.52	$55.63	$88.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $351.96 / $516.51 / $3,664.97	Professional	TC	$351.96	$516.51	$3,664.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.84 / $52.84 / $52.84	Professional	26	$52.84	$52.84	$52.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.83 / $680.26 / $783.27	Professional		$490.83	$680.26	$783.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.75 / $68.79 / $98.19	Professional	26	$52.75	$68.79	$98.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $438.08 / $611.48 / $705.51	Professional	TC	$438.08	$611.48	$705.51
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $51.53 / $51.53 / $51.53	Professional	26	$51.53	$51.53	$51.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.34 / $445.33 / $1,149.49	Professional		$241.34	$445.33	$1,149.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $45.57 / $113.60	Professional	26	$26.42	$45.57	$113.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.92 / $377.60 / $1,027.19	Professional	TC	$214.92	$377.60	$1,027.19
United Facility/Professional Professional Modifier Low / Median / High Price $314.29 / $589.34 / $1,049.77	Professional		$314.29	$589.34	$1,049.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.78 / $60.30 / $111.70	Professional	26	$34.78	$60.30	$111.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.19 / $529.07 / $938.07	Professional	TC	$279.19	$529.07	$938.07