Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.98 / $62.98 / $62.98	Facility	26	$62.98	$62.98	$62.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $409.16 / $710.82	Professional		$189.62	$409.16	$710.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $70.93 / $96.87	Professional	26	$38.90	$70.93	$96.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.25 / $214.11 / $613.94	Professional	TC	$133.25	$214.11	$613.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.71 / $58.71 / $58.71	Professional	26	$58.71	$58.71	$58.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.23 / $349.69 / $465.56	Professional		$232.23	$349.69	$465.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.84 / $75.84 / $92.89	Professional	26	$58.84	$75.84	$92.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $160.49 / $233.58 / $389.71	Professional	TC	$160.49	$233.58	$389.71
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $57.17 / $57.17 / $57.17	Professional	26	$57.17	$57.17	$57.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $193.06 / $789.67	Professional		$97.91	$193.06	$789.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.36 / $44.61 / $125.01	Professional	26	$29.36	$44.61	$125.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.97 / $147.69 / $657.96	Professional	TC	$65.97	$147.69	$657.96
United Facility/Professional Professional Modifier Low / Median / High Price $207.50 / $351.76 / $735.87	Professional		$207.50	$351.76	$735.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.43 / $67.48 / $125.22	Professional	26	$39.43	$67.48	$125.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.32 / $287.95 / $610.65	Professional	TC	$89.32	$287.95	$610.65