Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.31 / $110.00 / $143.57	Facility	26	$87.31	$110.00	$143.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $550.00 / $613.42	Professional		$402.08	$550.00	$613.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.43 / $119.21 / $144.97	Professional	26	$104.43	$119.21	$144.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $440.00 / $484.30	Professional	TC	$282.87	$440.00	$484.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.18 / $560.49 / $754.28	Professional		$466.18	$560.49	$754.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.73 / $138.11 / $165.88	Professional	26	$99.73	$138.11	$165.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $366.45 / $422.38 / $588.40	Professional	TC	$366.45	$422.38	$588.40
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $77.70 / $77.70 / $81.86	Professional	26	$77.70	$77.70	$81.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.69 / $399.21 / $731.13	Professional		$209.69	$399.21	$731.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.80 / $97.28 / $172.95	Professional	26	$55.80	$97.28	$172.95
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $507.23 / $507.23 / $507.23	Professional	50	$507.23	$507.23	$507.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $153.88 / $285.80 / $618.82	Professional	TC	$153.88	$285.80	$618.82
United Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $444.96 / $832.83	Professional		$294.49	$444.96	$832.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.09 / $92.62 / $153.44	Professional	26	$72.09	$92.62	$153.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $221.72 / $326.23 / $611.25	Professional	TC	$221.72	$326.23	$611.25