Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.38 / $74.55 / $106.48	Facility	26	$66.38	$74.55	$106.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.87 / $369.18 / $403.60	Professional		$308.87	$369.18	$403.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.15 / $79.03 / $86.40	Professional	26	$57.15	$79.03	$86.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.71 / $290.14 / $317.20	Professional	TC	$251.71	$290.14	$317.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.86 / $393.02 / $621.29	Professional		$368.86	$393.02	$621.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.50 / $95.86 / $122.42	Professional	26	$80.50	$95.86	$122.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.56 / $320.93 / $498.91	Professional	TC	$280.56	$320.93	$498.91
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $57.78 / $65.56 / $65.56	Professional	26	$57.78	$65.56	$65.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.67 / $326.06 / $716.48	Professional		$177.67	$326.06	$716.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.44 / $64.73 / $140.13	Professional	26	$39.44	$64.73	$140.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.24 / $247.52 / $559.27	Professional	TC	$138.24	$247.52	$559.27
United Facility/Professional Professional Modifier Low / Median / High Price $295.41 / $375.44 / $551.41	Professional		$295.41	$375.44	$551.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $80.36 / $118.25	Professional	26	$55.15	$80.36	$118.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $235.50 / $295.08 / $433.39	Professional	TC	$235.50	$295.08	$433.39