Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.21 / $25.21 / $25.21	Facility	26	$25.21	$25.21	$25.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $59.34 / $148.96	Professional		$44.51	$59.34	$148.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $28.36 / $181.26	Professional	26	$15.63	$28.36	$181.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $44.52 / $314.04	Professional	TC	$26.60	$44.52	$314.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $88.26 / $94.61	Professional		$63.08	$88.26	$94.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.51 / $30.24 / $45.98	Professional	26	$23.51	$30.24	$45.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.84 / $47.12 / $64.38	Professional	TC	$34.84	$47.12	$64.38
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $22.78 / $22.78 / $22.78	Professional	26	$22.78	$22.78	$22.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $38.44 / $140.88	Professional		$30.70	$38.44	$140.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.67 / $17.39 / $50.04	Professional	26	$11.67	$17.39	$50.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.43 / $26.53 / $87.39	Professional	TC	$13.43	$26.53	$87.39
United Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $72.54 / $106.28	Professional		$34.56	$72.54	$106.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.67 / $27.20 / $58.56	Professional	26	$15.67	$27.20	$58.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.06 / $44.31 / $86.22	Professional	TC	$24.06	$44.31	$86.22