Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.12 / $73.79 / $162.82	Facility	26	$67.12	$73.79	$162.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.91 / $307.12 / $465.77	Professional		$236.91	$307.12	$465.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.25 / $79.13 / $114.37	Professional	26	$50.25	$79.13	$114.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.88 / $240.00 / $357.62	Professional	TC	$166.88	$240.00	$357.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.42 / $239.50 / $275.43	Professional		$227.42	$239.50	$275.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.89 / $59.81 / $123.73	Professional	26	$50.89	$59.81	$123.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $315.23 / $450.62	Professional		$271.83	$315.23	$450.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.98 / $75.17 / $128.34	Professional	26	$66.98	$75.17	$128.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.98 / $245.86 / $302.94	Professional	TC	$208.98	$245.86	$302.94
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $52.45 / $77.06 / $77.06	Professional	26	$52.45	$77.06	$77.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.79 / $320.41 / $482.85	Professional		$238.79	$320.41	$482.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.01 / $71.88 / $121.08	Professional	26	$52.01	$71.88	$121.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.36 / $248.52 / $369.44	Professional	TC	$185.36	$248.52	$369.44
United Facility/Professional Professional Modifier Low / Median / High Price $235.26 / $320.97 / $504.37	Professional		$235.26	$320.97	$504.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.49 / $70.59 / $114.25	Professional	26	$50.49	$70.59	$114.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.85 / $245.37 / $409.46	Professional	TC	$182.85	$245.37	$409.46