Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $355.31 / $405.66 / $559.04	Facility	26	$355.31	$405.66	$559.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.84 / $1,194.43 / $1,656.70	Professional		$1,068.84	$1,194.43	$1,656.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $289.42 / $368.79 / $459.90	Professional	26	$289.42	$368.79	$459.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $779.44 / $829.82 / $1,226.36	Professional	TC	$779.44	$829.82	$1,226.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $323.76 / $323.76 / $323.76	Professional	26	$323.76	$323.76	$323.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $388.77 / $482.76 / $652.79	Professional	26	$388.77	$482.76	$652.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,003.05 / $1,003.05 / $1,003.05	Professional	TC	$1,003.05	$1,003.05	$1,003.05
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $287.83 / $287.83 / $287.83	Professional	26	$287.83	$287.83	$287.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.18 / $1,314.22 / $1,892.89	Professional		$1,048.18	$1,314.22	$1,892.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $316.08 / $397.28 / $576.64	Professional	26	$316.08	$397.28	$576.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $724.82 / $906.03 / $1,326.39	Professional	TC	$724.82	$906.03	$1,326.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.72 / $1,333.54 / $1,994.80	Professional		$1,003.72	$1,333.54	$1,994.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $293.49 / $397.63 / $615.90	Professional	26	$293.49	$397.63	$615.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $682.11 / $949.33 / $1,366.94	Professional	TC	$682.11	$949.33	$1,366.94