Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.54 / $62.04 / $88.03	Facility	26	$53.54	$62.04	$88.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $247.00 / $363.48	Professional		$145.00	$247.00	$363.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.09 / $62.04 / $84.97	Professional	26	$35.09	$62.04	$84.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.90 / $184.95 / $260.72	Professional	TC	$109.90	$184.95	$260.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.13 / $299.44 / $389.68	Professional		$235.13	$299.44	$389.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.27 / $78.52 / $99.41	Professional	26	$61.27	$78.52	$99.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.84 / $241.21 / $321.11	Professional	TC	$173.84	$241.21	$321.11
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $47.36 / $47.36 / $49.52	Professional	26	$47.36	$47.36	$49.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $230.67 / $440.44	Professional		$124.21	$230.67	$440.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.00 / $57.89 / $104.80	Professional	26	$34.00	$57.89	$104.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.21 / $164.32 / $292.07	Professional	TC	$90.21	$164.32	$292.07
United Facility/Professional Professional Modifier Low / Median / High Price $173.41 / $242.95 / $397.24	Professional		$173.41	$242.95	$397.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.25 / $59.26 / $91.70	Professional	26	$44.25	$59.26	$91.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.16 / $179.01 / $272.83	Professional	TC	$129.16	$179.01	$272.83