Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.53 / $151.46 / $206.46	Facility	26	$145.53	$151.46	$206.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.88 / $777.87 / $1,115.74	Professional		$581.88	$777.87	$1,115.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.20 / $145.54 / $196.14	Professional	26	$118.20	$145.54	$196.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $248.38 / $362.35 / $480.85	Professional	52	$248.38	$362.35	$480.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $465.22 / $654.21 / $927.64	Professional	TC	$465.22	$654.21	$927.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $598.42 / $598.42 / $1,010.50	Professional		$598.42	$598.42	$1,010.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $133.91 / $153.21 / $236.48	Professional	26	$133.91	$153.21	$236.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.77 / $739.96 / $1,103.33	Professional		$638.77	$739.96	$1,103.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.72 / $145.63 / $225.54	Professional	26	$128.72	$145.63	$225.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $509.74 / $597.49 / $881.70	Professional	TC	$509.74	$597.49	$881.70
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $122.36 / $126.49 / $126.49	Professional	26	$122.36	$126.49	$126.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.25 / $743.41 / $1,118.85	Professional		$572.25	$743.41	$1,118.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.49 / $150.62 / $238.54	Professional	26	$113.49	$150.62	$238.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $458.76 / $597.50 / $910.47	Professional	TC	$458.76	$597.50	$910.47
United Facility/Professional Professional Modifier Low / Median / High Price $533.03 / $724.13 / $1,207.67	Professional		$533.03	$724.13	$1,207.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.93 / $148.58 / $257.32	Professional	26	$107.93	$148.58	$257.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $424.39 / $571.66 / $946.96	Professional	TC	$424.39	$571.66	$946.96