Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.28 / $76.61 / $258.30	Facility	26	$71.28	$76.61	$258.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.67 / $461.25 / $613.11	Professional		$296.67	$461.25	$613.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.88 / $72.47 / $96.38	Professional	26	$45.88	$72.47	$96.38
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $148.34 / $230.63 / $291.50	Professional	52	$148.34	$230.63	$291.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.79 / $384.64 / $517.55	Professional	TC	$250.79	$384.64	$517.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.79 / $464.12 / $705.68	Professional		$404.79	$464.12	$705.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.18 / $70.62 / $110.50	Professional	26	$62.18	$70.62	$110.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $342.62 / $395.38 / $606.16	Professional	TC	$342.62	$395.38	$606.16
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $58.75 / $58.75	Professional	26	$40.00	$58.75	$58.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.39 / $472.61 / $744.52	Professional		$359.39	$472.61	$744.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.36 / $74.15 / $108.11	Professional	26	$54.36	$74.15	$108.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $305.02 / $398.46 / $635.61	Professional	TC	$305.02	$398.46	$635.61
United Facility/Professional Professional Modifier Low / Median / High Price $352.47 / $456.14 / $793.55	Professional		$352.47	$456.14	$793.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.82 / $69.48 / $121.72	Professional	26	$52.82	$69.48	$121.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $297.77 / $386.66 / $625.55	Professional	TC	$297.77	$386.66	$625.55