Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $114.82 / $338.84	Facility	26	$89.13	$114.82	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $602.56	Professional		$213.80	$281.84	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $102.33 / $204.17	Professional	26	$75.86	$102.33	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $169.82 / $281.84	Professional	TC	$134.90	$169.82	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $257.04	Professional		$199.53	$223.87	$257.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $100.00	Professional	26	$70.79	$89.13	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $323.59 / $416.87	Professional		$295.12	$323.59	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $120.23 / $154.88	Professional	26	$102.33	$120.23	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $204.17 / $257.04	Professional	TC	$186.21	$204.17	$257.04
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $114.82 / $114.82	Professional	26	$39.81	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $512.86	Professional		$208.93	$302.00	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $114.82 / $190.55	Professional	26	$79.43	$114.82	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $186.21 / $302.00	Professional	TC	$134.90	$186.21	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $407.38	Professional		$199.53	$257.04	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $89.13 / $151.36	Professional	26	$72.44	$89.13	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $165.96 / $251.19	Professional	TC	$123.03	$165.96	$251.19