Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.80 / $37.40 / $49.21	Facility	26	$29.80	$37.40	$49.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $76.59 / $113.71	Professional		$55.67	$76.59	$113.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.76 / $34.09 / $47.91	Professional	26	$24.76	$34.09	$47.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.44 / $36.74 / $44.39	Professional	52	$22.44	$36.74	$44.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.79 / $39.50 / $65.80	Professional	TC	$29.79	$39.50	$65.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $89.96 / $137.77	Professional		$75.37	$89.96	$137.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.34 / $38.15 / $56.73	Professional	26	$34.34	$38.15	$56.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.74 / $47.77 / $93.64	Professional	TC	$38.74	$47.77	$93.64
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $27.16 / $27.16 / $29.56	Professional	26	$27.16	$27.16	$29.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $69.42 / $130.36	Professional		$40.09	$69.42	$130.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.46 / $31.12 / $53.22	Professional	26	$18.46	$31.12	$53.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.63 / $38.61 / $76.14	Professional	TC	$21.63	$38.61	$76.14
United Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $68.66 / $116.82	Professional		$52.14	$68.66	$116.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.21 / $31.76 / $47.57	Professional	26	$22.21	$31.76	$47.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.87 / $37.94 / $66.54	Professional	TC	$28.87	$37.94	$66.54