Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $102.09 / $1,531.20	Facility		$77.66	$102.09	$1,531.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.23 / $53.77 / $60.10	Facility	26	$46.23	$53.77	$60.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $106.60 / $252.91	Professional		$63.91	$106.60	$252.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.18 / $61.88 / $89.68	Professional	26	$36.18	$61.88	$89.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.74 / $44.71 / $154.68	Professional	TC	$27.74	$44.71	$154.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.52 / $258.75 / $375.01	Facility		$155.52	$258.75	$375.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $95.27 / $352.92	Professional		$79.84	$95.27	$352.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.35 / $56.00 / $138.30	Professional	26	$43.35	$56.00	$138.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.40 / $39.29 / $208.31	Professional	TC	$30.40	$39.29	$208.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $124.03 / $124.03	Facility		$64.52	$124.03	$124.03
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $21.97 / $21.97 / $36.50	Professional	26	$21.97	$21.97	$36.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $94.26 / $266.64	Professional		$63.61	$94.26	$266.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.42 / $55.66 / $105.13	Professional	26	$37.42	$55.66	$105.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.05 / $38.61 / $164.38	Professional	TC	$26.05	$38.61	$164.38
United Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $669.00 / $2,918.00	Facility		$210.00	$669.00	$2,918.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $107.91 / $283.55	Professional		$58.90	$107.91	$283.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $60.74 / $102.30	Professional	26	$33.75	$60.74	$102.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $43.15 / $181.56	Professional	TC	$25.15	$43.15	$181.56