Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.89 / $89.33 / $127.46	Facility	26	$77.89	$89.33	$127.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.61 / $288.67 / $475.00	Professional		$193.61	$288.67	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.15 / $99.30 / $140.00	Professional	26	$63.15	$99.30	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $130.46 / $189.37 / $335.00	Professional	TC	$130.46	$189.37	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.30 / $341.48 / $454.81	Professional		$299.30	$341.48	$454.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.52 / $113.51 / $147.16	Professional	26	$88.52	$113.51	$147.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $205.84 / $242.96 / $311.64	Professional	TC	$205.84	$242.96	$311.64
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $72.31 / $79.79	Professional	26	$68.75	$72.31	$79.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $247.74 / $435.83	Professional		$137.16	$247.74	$435.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.35 / $83.63 / $152.38	Professional	26	$49.35	$83.63	$152.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.82 / $158.81 / $282.27	Professional	TC	$87.82	$158.81	$282.27
United Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $388.99 / $1,116.72	Professional		$232.80	$388.99	$1,116.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.04 / $85.35 / $129.30	Professional	26	$65.04	$85.35	$129.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.72 / $259.02 / $786.71	Professional	TC	$152.72	$259.02	$786.71