Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.19 / $151.94 / $181.03	Facility	26	$108.19	$151.94	$181.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $476.46 / $590.40	Professional		$293.74	$476.46	$590.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $151.94 / $181.03	Professional	26	$89.57	$151.94	$181.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.15 / $324.52 / $426.90	Professional	TC	$204.15	$324.52	$426.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.59 / $500.34 / $587.27	Professional		$396.59	$500.34	$587.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.69 / $156.88 / $186.54	Professional	26	$119.69	$156.88	$186.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $276.91 / $341.40 / $400.71	Professional	TC	$276.91	$341.40	$400.71
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $93.93 / $93.93	Professional	26	$40.00	$93.93	$93.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.99 / $339.78 / $545.91	Professional		$223.99	$339.78	$545.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.14 / $105.50 / $200.81	Professional	26	$70.14	$105.50	$200.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $153.85 / $230.76 / $400.40	Professional	TC	$153.85	$230.76	$400.40
United Facility/Professional Professional Modifier Low / Median / High Price $241.88 / $343.21 / $541.63	Professional		$241.88	$343.21	$541.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.45 / $106.26 / $178.59	Professional	26	$79.45	$106.26	$178.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $164.98 / $237.11 / $373.14	Professional	TC	$164.98	$237.11	$373.14