Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.26 / $233.48 / $346.55	Facility	26	$218.26	$233.48	$346.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.25 / $333.71 / $476.27	Professional		$224.25	$333.71	$476.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.46 / $218.25 / $306.12	Professional	26	$141.46	$218.25	$306.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.61 / $128.54 / $174.46	Professional	TC	$85.61	$128.54	$174.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.47 / $320.61 / $561.67	Professional		$247.47	$320.61	$561.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $168.36 / $200.43 / $200.43	Professional	26	$168.36	$200.43	$200.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $342.14 / $520.00	Professional		$292.93	$342.14	$520.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $192.71 / $218.00 / $326.54	Professional	26	$192.71	$218.00	$326.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.22 / $117.90 / $182.36	Professional	TC	$100.22	$117.90	$182.36
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $184.75 / $256.26 / $256.26	Professional	26	$184.75	$256.26	$256.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.49 / $342.71 / $508.18	Professional		$256.49	$342.71	$508.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $170.36 / $212.95 / $340.72	Professional	26	$170.36	$212.95	$340.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.13 / $124.36 / $194.15	Professional	TC	$86.13	$124.36	$194.15
United Facility/Professional Professional Modifier Low / Median / High Price $255.29 / $325.89 / $591.79	Professional		$255.29	$325.89	$591.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $161.44 / $207.12 / $361.13	Professional	26	$161.44	$207.12	$361.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.56 / $120.52 / $201.15	Professional	TC	$87.56	$120.52	$201.15