Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $25.70 / $25.70	Facility	26	$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $100.00	Professional		$42.66	$58.88	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $20.89 / $38.90	Professional	26	$15.14	$20.89	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $39.81 / $63.10	Professional	TC	$26.92	$39.81	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $100.00	Professional		$66.07	$77.62	$100.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $29.51 / $38.02	Professional	26	$23.99	$29.51	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $47.86 / $61.66	Professional	TC	$42.66	$47.86	$61.66
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	26	$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $120.23	Professional		$29.51	$37.15	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.13 / $42.66	Professional	26	$10.23	$14.13	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $23.44 / $72.44	Professional	TC	$17.38	$23.44	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $128.82	Professional		$38.02	$72.44	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $27.54 / $47.86	Professional	26	$13.18	$27.54	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $46.77 / $83.18	Professional	TC	$23.99	$46.77	$83.18