Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.70 / $110.00 / $120.00	Facility	26	$58.70	$110.00	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $550.00 / $555.09	Professional		$250.00	$550.00	$555.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $110.00 / $140.00	Professional	26	$62.50	$110.00	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $411.07 / $440.00	Professional	TC	$187.50	$411.07	$440.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.57 / $379.11 / $713.96	Professional		$315.57	$379.11	$713.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.40 / $86.53 / $110.39	Professional	26	$66.40	$86.53	$110.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.17 / $287.17 / $603.58	Professional	TC	$249.17	$287.17	$603.58
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $51.34 / $51.34 / $54.46	Professional	26	$51.34	$51.34	$54.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $276.91 / $600.00	Professional		$141.66	$276.91	$600.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $64.61 / $117.57	Professional	26	$36.86	$64.61	$117.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.80 / $206.28 / $513.84	Professional	TC	$104.80	$206.28	$513.84
United Facility/Professional Professional Modifier Low / Median / High Price $234.19 / $312.25 / $673.70	Professional		$234.19	$312.25	$673.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.97 / $62.71 / $98.16	Professional	26	$47.97	$62.71	$98.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $175.06 / $238.63 / $499.60	Professional	TC	$175.06	$238.63	$499.60