Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.48 / $119.48 / $144.38	Facility	26	$119.48	$119.48	$144.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $335.91 / $487.30	Professional		$219.81	$335.91	$487.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.25 / $106.79 / $160.88	Professional	26	$82.25	$106.79	$160.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.56 / $191.54 / $330.97	Professional	TC	$137.56	$191.54	$330.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.64 / $334.87 / $651.38	Professional		$284.64	$334.87	$651.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.86 / $119.75 / $183.97	Professional	26	$105.86	$119.75	$183.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $179.55 / $217.34 / $491.51	Professional	TC	$179.55	$217.34	$491.51
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $100.04 / $100.04	Professional	26	$40.00	$100.04	$100.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.76 / $316.80 / $527.29	Professional		$217.76	$316.80	$527.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.77 / $117.72 / $180.71	Professional	26	$92.77	$117.72	$180.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.91 / $189.98 / $359.10	Professional	TC	$138.91	$189.98	$359.10
United Facility/Professional Professional Modifier Low / Median / High Price $204.72 / $284.10 / $516.26	Professional		$204.72	$284.10	$516.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.72 / $112.33 / $188.33	Professional	26	$85.72	$112.33	$188.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.15 / $171.01 / $317.95	Professional	TC	$124.15	$171.01	$317.95