Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.86 / $33.83 / $45.11	Facility	26	$27.86	$33.83	$45.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $130.32 / $219.82	Professional		$90.25	$130.32	$219.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.69 / $30.72 / $43.46	Professional	26	$21.69	$30.72	$43.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.90 / $97.86 / $178.18	Professional	TC	$69.90	$97.86	$178.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.28 / $165.04 / $194.65	Professional		$149.28	$165.04	$194.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.18 / $39.89 / $49.07	Professional	26	$31.18	$39.89	$49.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.64 / $125.15 / $148.32	Professional	TC	$112.64	$125.15	$148.32
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $24.38 / $24.38 / $26.35	Professional	26	$24.38	$24.38	$26.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $122.27 / $211.57	Professional		$73.50	$122.27	$211.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.61 / $29.97 / $50.20	Professional	26	$16.61	$29.97	$50.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.39 / $94.37 / $160.19	Professional	TC	$58.39	$94.37	$160.19
United Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $117.55 / $193.63	Professional		$77.79	$117.55	$193.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.84 / $29.00 / $46.01	Professional	26	$21.84	$29.00	$46.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.58 / $89.71 / $131.87	Professional	TC	$64.58	$89.71	$131.87