Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $120.23 / $144.54	Facility	26	$109.65	$120.23	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $812.83	Professional		$331.13	$478.63	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $125.89 / $218.78	Professional	26	$83.18	$125.89	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $588.84	Professional	TC	$257.04	$338.84	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $691.83	Professional		$426.58	$501.19	$691.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $117.49 / $151.36	Professional	26	$93.33	$117.49	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $398.11 / $549.54	Professional	TC	$338.84	$398.11	$549.54
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $81.28 / $81.28	Professional	26	$39.81	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $812.83	Professional		$245.47	$416.87	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $177.83	Professional	26	$58.88	$93.33	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $323.59 / $630.96	Professional	TC	$177.83	$323.59	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $741.31	Professional		$302.00	$426.58	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $134.90	Professional	26	$70.79	$91.20	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $323.59 / $537.03	Professional	TC	$223.87	$323.59	$537.03