Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $76.92 / $116.31	Facility		$47.06	$76.92	$116.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.17 / $37.90 / $49.86	Facility	26	$30.17	$37.90	$49.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $61.98 / $104.68	Professional		$41.59	$61.98	$104.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $38.21 / $61.85	Professional	26	$25.05	$38.21	$61.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.64 / $59.64 / $59.64	Professional	50	$59.64	$59.64	$59.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.59 / $23.58 / $42.82	Professional	TC	$14.59	$23.58	$42.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.95 / $174.67 / $276.48	Facility		$97.95	$174.67	$276.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.09 / $66.40 / $169.23	Professional		$54.09	$66.40	$169.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.81 / $44.98 / $87.52	Professional	26	$34.81	$44.98	$87.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $22.49 / $70.25	Professional	TC	$18.21	$22.49	$70.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $42.36 / $46.32	Facility		$21.99	$42.36	$46.32
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $27.22 / $29.73 / $31.40	Professional	26	$27.22	$29.73	$31.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $64.63 / $173.55	Facility		$33.15	$64.63	$173.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $55.86 / $145.97	Professional		$28.58	$55.86	$145.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.51 / $35.42 / $70.18	Professional	26	$18.51	$35.42	$70.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.07 / $19.68 / $79.93	Professional	TC	$10.07	$19.68	$79.93
United Facility/Professional Facility Modifier Low / Median / High Price $245.18 / $245.18 / $245.18	Facility		$245.18	$245.18	$245.18
United Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $64.87 / $130.86	Professional		$45.70	$64.87	$130.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.19 / $35.33 / $64.22	Professional	26	$26.19	$35.33	$64.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $24.29 / $67.59	Professional	TC	$17.57	$24.29	$67.59