Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.15 / $104.57 / $122.06	Facility	26	$101.15	$104.57	$122.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.49 / $451.98 / $755.46	Professional		$332.49	$451.98	$755.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.36 / $101.15 / $136.01	Professional	26	$68.36	$101.15	$136.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $267.24 / $350.82 / $623.53	Professional	TC	$267.24	$350.82	$623.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.47 / $409.11 / $775.74	Professional		$380.47	$409.11	$775.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.76 / $97.50 / $144.05	Professional	26	$83.76	$97.50	$144.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.71 / $502.03 / $746.03	Professional		$421.71	$502.03	$746.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.05 / $100.74 / $155.27	Professional	26	$89.05	$100.74	$155.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $319.27 / $403.06 / $607.16	Professional	TC	$319.27	$403.06	$607.16
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $86.78 / $118.10 / $118.10	Professional	26	$86.78	$118.10	$118.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.71 / $475.99 / $746.07	Professional		$331.71	$475.99	$746.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.00 / $101.40 / $152.58	Professional	26	$78.00	$101.40	$152.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.86 / $371.01 / $579.46	Professional	TC	$245.86	$371.01	$579.46
United Facility/Professional Professional Modifier Low / Median / High Price $291.77 / $416.83 / $707.18	Professional		$291.77	$416.83	$707.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.14 / $96.15 / $156.15	Professional	26	$74.14	$96.15	$156.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.07 / $317.25 / $553.84	Professional	TC	$219.07	$317.25	$553.84