Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.40 / $82.89 / $247.55	Facility	26	$68.40	$82.89	$247.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.98 / $469.47 / $749.38	Professional		$380.98	$469.47	$749.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.34 / $68.40 / $95.09	Professional	26	$54.34	$68.40	$95.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $326.64 / $396.05 / $661.88	Professional	TC	$326.64	$396.05	$661.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $429.62 / $429.62 / $429.62	Professional		$429.62	$429.62	$429.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $91.82 / $91.82 / $91.82	Professional	26	$91.82	$91.82	$91.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.04 / $488.57 / $688.90	Professional		$416.04	$488.57	$688.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.85 / $67.70 / $105.36	Professional	26	$59.85	$67.70	$105.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $359.00 / $422.35 / $583.24	Professional	TC	$359.00	$422.35	$583.24
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $57.04 / $79.98 / $79.98	Professional	26	$57.04	$79.98	$79.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.60 / $486.15 / $849.81	Professional		$378.60	$486.15	$849.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.63 / $72.39 / $119.36	Professional	26	$52.63	$72.39	$119.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $319.39 / $417.76 / $730.45	Professional	TC	$319.39	$417.76	$730.45
United Facility/Professional Professional Modifier Low / Median / High Price $340.97 / $449.39 / $745.90	Professional		$340.97	$449.39	$745.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $66.69 / $116.65	Professional	26	$51.54	$66.69	$116.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $289.58 / $385.77 / $637.86	Professional	TC	$289.58	$385.77	$637.86