Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.20 / $76.44 / $246.20	Facility	26	$71.20	$76.44	$246.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $153.16 / $201.25	Professional		$106.18	$153.16	$201.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.55 / $72.13 / $98.64	Professional	26	$53.55	$72.13	$98.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.63 / $71.78 / $125.43	Professional	TC	$52.63	$71.78	$125.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $151.76 / $198.23	Professional		$138.30	$151.76	$198.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.17 / $75.27 / $102.12	Professional	26	$70.17	$75.27	$102.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.69 / $72.09 / $110.26	Professional	TC	$64.69	$72.09	$110.26
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $55.44 / $59.03	Professional	26	$40.00	$55.44	$59.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.84 / $142.72 / $273.55	Professional		$108.84	$142.72	$273.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.14 / $70.83 / $106.12	Professional	26	$56.14	$70.83	$106.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.10 / $66.89 / $161.52	Professional	TC	$52.10	$66.89	$161.52
United Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $143.60 / $232.31	Professional		$103.38	$143.60	$232.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $65.64 / $110.21	Professional	26	$52.48	$65.64	$110.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.94 / $70.97 / $140.54	Professional	TC	$48.94	$70.97	$140.54