Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.66 / $76.58 / $151.52	Facility		$67.66	$76.58	$151.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.40 / $39.84 / $78.81	Facility	26	$34.40	$39.84	$78.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $73.66 / $105.78	Professional		$39.49	$73.66	$105.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $34.67 / $48.65	Professional	26	$23.82	$34.67	$48.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.64 / $33.83 / $42.09	Professional	52	$19.64	$33.83	$42.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.36 / $33.26 / $63.39	Professional	TC	$16.36	$33.26	$63.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $195.74 / $289.23	Facility		$109.49	$195.74	$289.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $50.62 / $119.91	Professional		$43.03	$50.62	$119.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.55 / $32.40 / $46.46	Professional	26	$27.55	$32.40	$46.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.48 / $18.48 / $75.80	Professional	TC	$15.48	$18.48	$75.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $29.80 / $43.81	Facility		$29.80	$29.80	$43.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $28.40 / $28.40 / $29.56	Professional	26	$28.40	$28.40	$29.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $61.49 / $120.46	Professional		$40.21	$61.49	$120.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.10 / $33.75 / $53.00	Professional	26	$26.10	$33.75	$53.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.11 / $22.95 / $74.37	Professional	TC	$14.11	$22.95	$74.37
United Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $69.87 / $111.44	Professional		$51.27	$69.87	$111.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $31.76 / $48.21	Professional	26	$23.33	$31.76	$48.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.41 / $35.06 / $66.11	Professional	TC	$25.41	$35.06	$66.11