Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.81 / $154.81 / $154.81	Facility		$154.81	$154.81	$154.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.14 / $32.14 / $32.14	Facility	26	$32.14	$32.14	$32.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $132.62 / $219.82	Professional		$113.82	$132.62	$219.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $23.94 / $40.44	Professional	26	$11.77	$23.94	$40.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.93 / $117.15 / $177.11	Professional	TC	$96.93	$117.15	$177.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.55 / $146.55 / $146.55	Facility		$146.55	$146.55	$146.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $154.47 / $224.33	Professional		$130.63	$154.47	$224.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $29.22 / $45.21	Professional	26	$20.14	$29.22	$45.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.73 / $124.78 / $185.68	Professional	TC	$107.73	$124.78	$185.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $135.18 / $135.18 / $138.62	Facility		$135.18	$135.18	$138.62
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $32.88 / $32.88	Professional	26	$22.07	$32.88	$32.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.68 / $147.68 / $274.19	Facility		$147.68	$147.68	$274.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.75 / $26.75 / $26.75	Facility	26	$26.75	$26.75	$26.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $176.30 / $335.83	Professional		$132.63	$176.30	$335.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $26.91 / $54.10	Professional	26	$17.07	$26.91	$54.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.60 / $147.47 / $286.97	Professional	TC	$110.60	$147.47	$286.97
United Facility/Professional Professional Modifier Low / Median / High Price $119.72 / $158.43 / $256.52	Professional		$119.72	$158.43	$256.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.76 / $23.83 / $38.88	Professional	26	$13.76	$23.83	$38.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.81 / $132.81 / $229.76	Professional	TC	$99.81	$132.81	$229.76