Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.00 / $74.83 / $241.00	Facility	26	$70.00	$74.83	$241.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.62 / $193.88 / $280.63	Professional		$152.62	$193.88	$280.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.08 / $72.42 / $94.14	Professional	26	$53.08	$72.42	$94.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.13 / $122.11 / $190.10	Professional	TC	$99.13	$122.11	$190.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.86 / $57.86 / $57.86	Professional	26	$57.86	$57.86	$57.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.51 / $198.50 / $269.22	Professional		$172.51	$198.50	$269.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.39 / $73.95 / $96.25	Professional	26	$64.39	$73.95	$96.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.11 / $124.68 / $185.19	Professional	TC	$108.11	$124.68	$185.19
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $54.39 / $57.56	Professional	26	$40.00	$54.39	$57.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $333.06 / $517.42	Professional		$267.37	$333.06	$517.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.10 / $67.36 / $104.00	Professional	26	$55.10	$67.36	$104.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.79 / $266.35 / $418.94	Professional	TC	$210.79	$266.35	$418.94
United Facility/Professional Professional Modifier Low / Median / High Price $246.11 / $317.95 / $563.42	Professional		$246.11	$317.95	$563.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.44 / $61.99 / $108.34	Professional	26	$49.44	$61.99	$108.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.30 / $256.24 / $425.19	Professional	TC	$197.30	$256.24	$425.19