Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.29 / $62.60 / $79.53	Facility	26	$56.29	$62.60	$79.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $377.81 / $529.04	Professional		$267.32	$377.81	$529.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $59.58 / $73.18	Professional	26	$43.47	$59.58	$73.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $318.23 / $455.86	Professional	TC	$223.84	$318.23	$455.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.65 / $392.09 / $629.69	Professional		$368.65	$392.09	$629.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $71.53 / $91.61	Professional	26	$60.26	$71.53	$91.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $302.68 / $346.20 / $538.07	Professional	TC	$302.68	$346.20	$538.07
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $43.12 / $43.12	Professional	26	$40.00	$43.12	$43.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.05 / $298.69 / $688.70	Professional		$179.05	$298.69	$688.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.42 / $48.97 / $100.39	Professional	26	$29.42	$48.97	$100.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.63 / $252.23 / $588.30	Professional	TC	$149.63	$252.23	$588.30
United Facility/Professional Professional Modifier Low / Median / High Price $209.90 / $357.65 / $535.55	Professional		$209.90	$357.65	$535.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.35 / $53.56 / $83.79	Professional	26	$41.35	$53.56	$83.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.36 / $306.04 / $414.31	Professional	TC	$179.36	$306.04	$414.31