Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.60 / $101.41 / $335.72	Facility	26	$96.60	$101.41	$335.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $263.01 / $404.14	Professional		$213.68	$263.01	$404.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $98.00 / $136.35	Professional	26	$67.59	$98.00	$136.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.31 / $165.09 / $257.39	Professional	TC	$136.31	$165.09	$257.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.40 / $212.40 / $274.17	Professional		$212.40	$212.40	$274.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.95 / $84.95 / $88.81	Professional	26	$84.95	$84.95	$88.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.86 / $323.41 / $475.86	Professional		$273.86	$323.41	$475.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.72 / $119.49 / $167.29	Professional	26	$99.72	$119.49	$167.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.14 / $203.92 / $328.17	Professional	TC	$174.14	$203.92	$328.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $80.23 / $115.43 / $115.43	Professional	26	$80.23	$115.43	$115.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $305.45 / $485.01	Professional		$217.30	$305.45	$485.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.54 / $113.79 / $181.71	Professional	26	$82.54	$113.79	$181.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.31 / $190.84 / $303.31	Professional	TC	$146.31	$190.84	$303.31
United Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $273.98 / $431.82	Professional		$198.59	$273.98	$431.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.23 / $99.19 / $167.90	Professional	26	$74.23	$99.19	$167.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.10 / $171.68 / $266.23	Professional	TC	$126.10	$171.68	$266.23