Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.98 / $69.28 / $82.77	Facility	26	$66.98	$69.28	$82.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $476.50 / $773.65	Professional		$338.67	$476.50	$773.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.65 / $66.98 / $90.06	Professional	26	$45.65	$66.98	$90.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $409.52 / $686.43	Professional	TC	$287.33	$409.52	$686.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $362.72 / $440.53 / $633.89	Professional		$362.72	$440.53	$633.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.77 / $59.33 / $89.61	Professional	26	$54.77	$59.33	$89.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $314.74 / $314.74 / $314.74	Professional	TC	$314.74	$314.74	$314.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.98 / $513.59 / $684.04	Professional		$422.98	$513.59	$684.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.03 / $66.78 / $99.53	Professional	26	$59.03	$66.78	$99.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $363.55 / $447.96 / $584.50	Professional	TC	$363.55	$447.96	$584.50
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $55.87 / $78.29 / $78.29	Professional	26	$55.87	$78.29	$78.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.02 / $487.52 / $780.04	Professional		$312.02	$487.52	$780.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $65.62 / $101.03	Professional	26	$51.59	$65.62	$101.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $270.74 / $423.07 / $674.77	Professional	TC	$270.74	$423.07	$674.77
United Facility/Professional Professional Modifier Low / Median / High Price $237.11 / $419.31 / $721.52	Professional		$237.11	$419.31	$721.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.64 / $62.21 / $103.89	Professional	26	$47.64	$62.21	$103.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.65 / $358.42 / $617.63	Professional	TC	$194.65	$358.42	$617.63