Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.31 / $75.89 / $251.22	Facility	26	$72.31	$75.89	$251.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.11 / $253.65 / $402.18	Professional		$200.11	$253.65	$402.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.51 / $73.34 / $111.46	Professional	26	$56.51	$73.34	$111.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.30 / $181.31 / $287.50	Professional	TC	$136.30	$181.31	$287.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $217.40 / $217.40	Professional		$217.40	$217.40	$217.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.66 / $299.91 / $444.12	Professional		$247.66	$299.91	$444.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.34 / $88.85 / $126.95	Professional	26	$73.34	$88.85	$126.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.30 / $212.10 / $301.35	Professional	TC	$177.30	$212.10	$301.35
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $59.45 / $61.33 / $61.33	Professional	26	$59.45	$61.33	$61.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.27 / $275.70 / $446.82	Professional		$208.27	$275.70	$446.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.07 / $83.31 / $129.69	Professional	26	$62.07	$83.31	$129.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.50 / $194.94 / $317.37	Professional	TC	$152.50	$194.94	$317.37
United Facility/Professional Professional Modifier Low / Median / High Price $197.10 / $249.24 / $417.34	Professional		$197.10	$249.24	$417.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.52 / $75.12 / $125.64	Professional	26	$55.52	$75.12	$125.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.83 / $173.94 / $298.73	Professional	TC	$140.83	$173.94	$298.73