Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.58 / $150.36 / $167.97	Facility	26	$141.58	$150.36	$167.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.20 / $514.74 / $727.25	Professional		$420.20	$514.74	$727.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.58 / $167.97 / $187.68	Professional	26	$141.58	$167.97	$187.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $278.62 / $346.77 / $384.00	Professional	TC	$278.62	$346.77	$384.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.26 / $489.85 / $576.29	Professional		$421.26	$489.85	$576.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $139.94 / $149.26 / $193.68	Professional	26	$139.94	$149.26	$193.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $283.82 / $333.91 / $400.69	Professional	TC	$283.82	$333.91	$400.69
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $40.00 / $40.00	Professional	26	$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.73 / $448.18 / $550.32	Professional		$358.73	$448.18	$550.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.75 / $141.29 / $188.50	Professional	26	$112.75	$141.29	$188.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.19 / $308.79 / $417.74	Professional	TC	$242.19	$308.79	$417.74
United Facility/Professional Professional Modifier Low / Median / High Price $284.66 / $427.88 / $670.20	Professional		$284.66	$427.88	$670.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.56 / $156.00 / $225.81	Professional	26	$96.56	$156.00	$225.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.06 / $269.95 / $501.28	Professional	TC	$182.06	$269.95	$501.28