Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.55 / $1,236.00 / $3,500.00	Facility		$289.55	$1,236.00	$3,500.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.07 / $56.68 / $63.30	Facility	26	$49.07	$56.68	$63.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $238.99 / $280.88	Professional		$140.13	$238.99	$280.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.96 / $63.29 / $70.75	Professional	26	$41.96	$63.29	$70.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $175.68 / $220.72	Professional	TC	$98.17	$175.68	$220.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.74 / $258.75 / $378.00	Facility		$161.74	$258.75	$378.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.03 / $246.09 / $295.31	Professional		$179.03	$246.09	$295.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.29 / $55.84 / $73.47	Professional	26	$52.29	$55.84	$73.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $113.09 / $191.36 / $229.63	Professional	TC	$113.09	$191.36	$229.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $134.58 / $134.58 / $134.58	Facility		$134.58	$134.58	$134.58
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $106.07 / $106.07 / $106.07	Professional	26	$106.07	$106.07	$106.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.13 / $222.19 / $289.01	Professional		$171.13	$222.19	$289.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.38 / $54.97 / $102.79	Professional	26	$43.38	$54.97	$102.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.17 / $166.18 / $226.36	Professional	TC	$112.17	$166.18	$226.36
United Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $513.00 / $1,226.00	Facility		$194.00	$513.00	$1,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $201.68 / $356.62	Professional		$134.36	$201.68	$356.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.50 / $55.95 / $91.50	Professional	26	$36.50	$55.95	$91.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.16 / $142.49 / $236.57	Professional	TC	$87.16	$142.49	$236.57