Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.21 / $142.21 / $177.97	Facility	26	$142.21	$142.21	$177.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $432.04 / $764.81	Professional		$270.76	$432.04	$764.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.38 / $153.47 / $295.60	Professional	26	$88.38	$153.47	$295.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.94 / $268.77 / $359.53	Professional	TC	$181.94	$268.77	$359.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $376.94 / $625.00 / $714.17	Professional		$376.94	$625.00	$714.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $130.03 / $145.85 / $233.11	Professional	26	$130.03	$145.85	$233.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $246.92 / $246.92 / $246.92	Professional	TC	$246.92	$246.92	$246.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.99 / $490.06 / $519.94	Professional		$342.99	$490.06	$519.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $133.53 / $170.65 / $224.70	Professional	26	$133.53	$170.65	$224.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.56 / $312.18 / $342.73	Professional	TC	$174.56	$312.18	$342.73
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $126.95 / $126.95 / $126.95	Professional	26	$126.95	$126.95	$126.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $211.12 / $843.41	Professional		$152.97	$211.12	$843.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.01 / $79.45 / $282.62	Professional	26	$65.01	$79.45	$282.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.84 / $131.10 / $534.57	Professional	TC	$78.84	$131.10	$534.57
United Facility/Professional Professional Modifier Low / Median / High Price $204.71 / $427.66 / $770.24	Professional		$204.71	$427.66	$770.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.48 / $152.66 / $282.05	Professional	26	$83.48	$152.66	$282.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $145.28 / $261.05 / $488.19	Professional	TC	$145.28	$261.05	$488.19