Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.61 / $110.00 / $143.49	Facility	26	$87.61	$110.00	$143.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $550.00 / $702.07	Professional		$402.08	$550.00	$702.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.43 / $120.00 / $165.26	Professional	26	$106.43	$120.00	$165.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $439.88 / $516.48	Professional	TC	$282.87	$439.88	$516.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.37 / $557.16 / $743.54	Professional		$463.37	$557.16	$743.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.24 / $137.47 / $165.23	Professional	26	$99.24	$137.47	$165.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $364.13 / $419.69 / $578.30	Professional	TC	$364.13	$419.69	$578.30
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $77.05 / $77.05 / $81.56	Professional	26	$77.05	$77.05	$81.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.23 / $401.24 / $735.04	Professional		$207.23	$401.24	$735.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.33 / $97.24 / $172.86	Professional	26	$55.33	$97.24	$172.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.90 / $282.60 / $614.37	Professional	TC	$151.90	$282.60	$614.37
United Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $434.25 / $752.05	Professional		$292.60	$434.25	$752.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.47 / $96.58 / $146.66	Professional	26	$71.47	$96.58	$146.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.19 / $328.30 / $614.89	Professional	TC	$219.19	$328.30	$614.89