Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $165.96	Facility	26	$141.25	$141.25	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $575.44	Professional		$338.84	$398.11	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.89 / $186.21	Professional	26	$100.00	$125.89	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $275.42 / $380.19	Professional	TC	$229.09	$275.42	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $575.44	Professional		$398.11	$478.63	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $147.91 / $173.78	Professional	26	$123.03	$147.91	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $331.13 / $398.11	Professional	TC	$281.84	$331.13	$398.11
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Professional	26	$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $562.34	Professional		$281.84	$436.52	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $144.54 / $190.55	Professional	26	$104.71	$144.54	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $295.12 / $416.87	Professional	TC	$177.83	$295.12	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $602.56	Professional		$281.84	$371.54	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $131.83 / $204.17	Professional	26	$95.50	$131.83	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $245.47 / $398.11	Professional	TC	$181.97	$245.47	$398.11