Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $263.03 / $524.81	Facility	26	$218.78	$263.03	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $645.65	Professional		$257.04	$331.13	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $199.53 / $389.05	Professional	26	$162.18	$199.53	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $114.82 / $165.96	Professional	TC	$93.33	$114.82	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $371.54	Professional		$263.03	$302.00	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $169.82 / $194.98	Professional	26	$158.49	$169.82	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $363.08	Professional		$281.84	$331.13	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $218.78 / $239.88	Professional	26	$186.21	$218.78	$239.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $114.82 / $128.82	Professional	TC	$95.50	$114.82	$128.82
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 $269.15 / $363.08 / $562.34	Professional		$269.15	$363.08	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $234.42 / $346.74	Professional	26	$177.83	$234.42	$346.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $131.83 / $213.80	Professional	TC	$91.20	$131.83	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $549.54	Professional		$257.04	$316.23	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $194.98 / $338.84	Professional	26	$162.18	$194.98	$338.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $114.82 / $190.55	Professional	TC	$93.33	$114.82	$190.55