Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.34 / $118.24 / $131.78	Facility	26	$111.34	$118.24	$131.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.01 / $427.62 / $473.55	Professional		$319.01	$427.62	$473.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.67 / $131.78 / $147.59	Professional	26	$87.67	$131.78	$147.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.34 / $295.83 / $327.61	Professional	TC	$231.34	$295.83	$327.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.92 / $401.67 / $472.55	Professional		$355.92	$401.67	$472.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.69 / $118.34 / $155.72	Professional	26	$110.69	$118.34	$155.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $236.11 / $280.54 / $333.33	Professional	TC	$236.11	$280.54	$333.33
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $97.66 / $97.66 / $97.66	Professional	26	$97.66	$97.66	$97.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.12 / $373.73 / $466.35	Professional		$293.12	$373.73	$466.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.83 / $110.79 / $150.21	Professional	26	$91.83	$110.79	$150.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.10 / $253.86 / $328.51	Professional	TC	$199.10	$253.86	$328.51
United Facility/Professional Professional Modifier Low / Median / High Price $244.27 / $371.95 / $639.77	Professional		$244.27	$371.95	$639.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.97 / $109.63 / $177.58	Professional	26	$76.97	$109.63	$177.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.92 / $268.02 / $427.66	Professional	TC	$177.92	$268.02	$427.66