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 $296.76 / $401.60 / $663.25	Professional		$296.76	$401.60	$663.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.95 / $66.59 / $97.23	Professional	26	$50.95	$66.59	$97.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $335.00 / $576.02	Professional	TC	$251.27	$335.00	$576.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $312.07 / $357.09 / $555.83	Professional		$312.07	$357.09	$555.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.93 / $60.67 / $64.48	Professional	26	$50.93	$60.67	$64.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $264.08 / $264.08 / $264.08	Professional	TC	$264.08	$264.08	$264.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.86 / $446.27 / $596.07	Professional		$359.86	$446.27	$596.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.03 / $66.78 / $100.24	Professional	26	$59.03	$66.78	$100.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $300.43 / $380.65 / $492.79	Professional	TC	$300.43	$380.65	$492.79
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $55.56 / $77.83 / $77.83	Professional	26	$55.56	$77.83	$77.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $419.45 / $669.23	Professional		$268.45	$419.45	$669.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $65.62 / $100.48	Professional	26	$51.59	$65.62	$100.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.17 / $354.95 / $557.79	Professional	TC	$227.17	$354.95	$557.79
United Facility/Professional Professional Modifier Low / Median / High Price $220.72 / $354.41 / $627.78	Professional		$220.72	$354.41	$627.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.36 / $62.51 / $113.13	Professional	26	$47.36	$62.51	$113.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.19 / $296.89 / $536.03	Professional	TC	$177.19	$296.89	$536.03