Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.15 / $48.04 / $55.20	Facility	26	$43.15	$48.04	$55.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $361.71 / $506.41	Professional		$251.87	$361.71	$506.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $45.72 / $56.92	Professional	26	$33.17	$45.72	$56.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $315.98 / $449.49	Professional	TC	$218.71	$315.98	$449.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.22 / $371.12 / $531.03	Professional		$349.22	$371.12	$531.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.79 / $55.31 / $72.25	Professional	26	$46.79	$55.31	$72.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $298.20 / $341.07 / $457.32	Professional	TC	$298.20	$341.07	$457.32
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $33.65 / $215.48 / $215.48	Professional	26	$33.65	$215.48	$215.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.50 / $284.43 / $569.99	Professional		$170.50	$284.43	$569.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.95 / $38.25 / $78.48	Professional	26	$22.95	$38.25	$78.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.54 / $248.50 / $491.50	Professional	TC	$147.54	$248.50	$491.50
United Facility/Professional Professional Modifier Low / Median / High Price $181.61 / $319.33 / $470.33	Professional		$181.61	$319.33	$470.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $43.54 / $66.03	Professional	26	$32.47	$43.54	$66.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.49 / $276.62 / $415.61	Professional	TC	$140.49	$276.62	$415.61