Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.97 / $59.55 / $76.20	Facility	26	$53.97	$59.55	$76.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $250.01 / $280.83	Professional		$228.16	$250.01	$280.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $57.13 / $62.45	Professional	26	$42.77	$57.13	$62.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.40 / $192.88 / $210.86	Professional	TC	$185.40	$192.88	$210.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.69 / $265.02 / $415.95	Professional		$248.69	$265.02	$415.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.78 / $68.47 / $87.02	Professional	26	$57.78	$68.47	$87.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $185.60 / $212.27 / $328.92	Professional	TC	$185.60	$212.27	$328.92
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $41.30 / $48.09 / $48.09	Professional	26	$41.30	$48.09	$48.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.99 / $219.92 / $460.61	Professional		$119.99	$219.92	$460.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $46.90 / $96.25	Professional	26	$28.18	$46.90	$96.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.81 / $173.02 / $364.36	Professional	TC	$91.81	$173.02	$364.36
United Facility/Professional Professional Modifier Low / Median / High Price $173.62 / $241.58 / $411.63	Professional		$173.62	$241.58	$411.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.36 / $53.93 / $84.71	Professional	26	$39.36	$53.93	$84.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $150.13 / $196.15 / $390.72	Professional	TC	$150.13	$196.15	$390.72