Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.59 / $68.42 / $105.06	Facility	26	$66.59	$68.42	$105.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.91 / $372.62 / $593.73	Professional		$268.91	$372.62	$593.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.65 / $66.59 / $102.02	Professional	26	$45.65	$66.59	$102.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $297.98 / $320.41 / $339.50	Professional		$297.98	$320.41	$339.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.12 / $85.12 / $89.61	Professional	26	$85.12	$85.12	$89.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.03 / $396.50 / $636.92	Professional		$337.03	$396.50	$636.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.03 / $66.78 / $99.53	Professional	26	$59.03	$66.78	$99.53
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $57.52 / $57.52	Professional	26	$40.00	$57.52	$57.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.33 / $381.58 / $608.04	Professional		$262.33	$381.58	$608.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $65.62 / $100.48	Professional	26	$51.59	$65.62	$100.48
United Facility/Professional Professional Modifier Low / Median / High Price $222.97 / $334.24 / $562.77	Professional		$222.97	$334.24	$562.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.36 / $62.60 / $102.69	Professional	26	$47.36	$62.60	$102.69