Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $225.15 / $243.94 / $263.45	Facility	26	$225.15	$243.94	$263.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $415.31 / $481.95	Professional		$255.18	$415.31	$481.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $234.79 / $262.23	Professional	26	$131.81	$234.79	$262.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.37 / $190.16 / $238.86	Professional	TC	$123.37	$190.16	$238.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.89 / $426.36 / $507.37	Professional		$330.89	$426.36	$507.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.78 / $229.44 / $270.18	Professional	26	$177.78	$229.44	$270.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.11 / $193.33 / $237.08	Professional	TC	$153.11	$193.33	$237.08
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $140.06 / $153.54 / $153.54	Professional	26	$140.06	$153.54	$153.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.79 / $295.45 / $481.16	Professional		$190.79	$295.45	$481.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.57 / $157.21 / $296.58	Professional	26	$104.57	$157.21	$296.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.22 / $132.19 / $242.38	Professional	TC	$86.22	$132.19	$242.38
United Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $313.49 / $509.10	Professional		$217.82	$313.49	$509.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.96 / $180.95 / $338.19	Professional	26	$117.96	$180.95	$338.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.86 / $137.65 / $249.51	Professional	TC	$99.86	$137.65	$249.51