Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $161.65 / $183.85 / $222.05	Facility	26	$161.65	$183.85	$222.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.92 / $295.82 / $400.89	Professional		$193.92	$295.82	$400.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.75 / $183.84 / $247.43	Professional	26	$125.75	$183.84	$247.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.43 / $114.98 / $156.72	Professional	TC	$77.43	$114.98	$156.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.93 / $264.07 / $479.76	Professional		$218.93	$264.07	$479.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.45 / $295.45 / $449.85	Professional		$253.45	$295.45	$449.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $162.96 / $184.35 / $275.63	Professional	26	$162.96	$184.35	$275.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.49 / $106.46 / $164.65	Professional	TC	$90.49	$106.46	$164.65
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $155.83 / $215.84 / $215.84	Professional	26	$155.83	$215.84	$215.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.93 / $295.89 / $438.47	Professional		$218.93	$295.89	$438.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.63 / $179.54 / $287.26	Professional	26	$143.63	$179.54	$287.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.30 / $111.87 / $173.48	Professional	TC	$75.30	$111.87	$173.48
United Facility/Professional Professional Modifier Low / Median / High Price $220.95 / $280.64 / $493.65	Professional		$220.95	$280.64	$493.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $136.00 / $171.26 / $295.14	Professional	26	$136.00	$171.26	$295.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.98 / $109.52 / $201.98	Professional	TC	$80.98	$109.52	$201.98