Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $107.15 / $123.03	Facility	26	$100.00	$107.15	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $831.76	Professional		$331.13	$446.68	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $93.33 / $190.55	Professional	26	$77.62	$93.33	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $346.74 / $512.86	Professional	TC	$269.15	$346.74	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $467.74	Professional		$389.05	$426.58	$467.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $91.20 / $117.49	Professional	26	$74.13	$91.20	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $562.34	Professional		$416.87	$501.19	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $100.00 / $109.65	Professional	26	$85.11	$100.00	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $398.11 / $446.68	Professional	TC	$309.03	$398.11	$446.68
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $257.04 / $257.04	Professional	26	$39.81	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $851.14	Professional		$331.13	$489.78	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $109.65 / $162.18	Professional	26	$81.28	$109.65	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $398.11 / $676.08	Professional	TC	$257.04	$398.11	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $676.08	Professional		$257.04	$398.11	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $91.20 / $154.88	Professional	26	$74.13	$91.20	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $316.23 / $524.81	Professional	TC	$208.93	$316.23	$524.81