Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.30 / $145.50 / $198.99	Facility	26	$140.30	$145.50	$198.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.14 / $738.62 / $1,065.40	Professional		$554.14	$738.62	$1,065.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.16 / $140.30 / $220.06	Professional	26	$110.16	$140.30	$220.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $237.93 / $346.93 / $436.46	Professional	52	$237.93	$346.93	$436.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $442.08 / $602.07 / $884.77	Professional	TC	$442.08	$602.07	$884.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $571.29 / $614.29 / $962.13	Professional		$571.29	$614.29	$962.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $106.50 / $179.47 / $189.12	Professional	26	$106.50	$179.47	$189.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.29 / $707.77 / $1,051.81	Professional		$609.29	$707.77	$1,051.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.73 / $139.96 / $217.23	Professional	26	$123.73	$139.96	$217.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $485.26 / $570.89 / $838.84	Professional	TC	$485.26	$570.89	$838.84
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $118.05 / $164.51 / $164.51	Professional	26	$118.05	$164.51	$164.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.44 / $712.14 / $1,066.66	Professional		$546.44	$712.14	$1,066.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.77 / $145.00 / $221.65	Professional	26	$108.77	$145.00	$221.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $437.67 / $570.89 / $866.22	Professional	TC	$437.67	$570.89	$866.22
United Facility/Professional Professional Modifier Low / Median / High Price $515.05 / $679.20 / $1,102.44	Professional		$515.05	$679.20	$1,102.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.60 / $137.77 / $239.53	Professional	26	$103.60	$137.77	$239.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $405.93 / $536.07 / $865.70	Professional	TC	$405.93	$536.07	$865.70