Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.77 / $127.77 / $127.77	Facility	26	$127.77	$127.77	$127.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.31 / $249.58 / $1,625.25	Professional		$152.31	$249.58	$1,625.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.79 / $144.96 / $893.06	Professional	26	$78.79	$144.96	$893.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.52 / $107.74 / $732.18	Professional	TC	$73.52	$107.74	$732.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.38 / $282.98 / $418.48	Professional		$270.38	$282.98	$418.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.09 / $145.86 / $277.20	Professional	26	$144.09	$145.86	$277.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.13 / $137.11 / $173.23	Professional	TC	$88.13	$137.11	$173.23
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $108.33 / $108.33 / $108.33	Professional	26	$108.33	$108.33	$108.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.37 / $167.84 / $404.02	Professional		$106.37	$167.84	$404.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.70 / $104.86 / $239.91	Professional	26	$55.70	$104.86	$239.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.66 / $70.02 / $177.33	Professional	TC	$50.66	$70.02	$177.33
United Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $240.36 / $449.17	Professional		$134.91	$240.36	$449.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.23 / $133.88 / $248.80	Professional	26	$74.23	$133.88	$248.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.47 / $106.47 / $230.54	Professional	TC	$49.47	$106.47	$230.54