Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.54 / $114.09 / $234.57	Facility	26	$82.54	$114.09	$234.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.51 / $348.06 / $474.93	Professional		$290.51	$348.06	$474.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.54 / $93.05 / $119.89	Professional	26	$82.54	$93.05	$119.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $207.98 / $256.57 / $287.50	Professional	TC	$207.98	$256.57	$287.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.56 / $345.02 / $648.82	Professional		$253.56	$345.02	$648.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.79 / $107.30 / $191.46	Professional	26	$79.79	$107.30	$191.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.01 / $235.71 / $435.02	Professional	TC	$171.01	$235.71	$435.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.81 / $404.34 / $632.84	Professional		$279.81	$404.34	$632.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.74 / $121.50 / $187.31	Professional	26	$87.74	$121.50	$187.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.53 / $280.06 / $461.43	Professional	TC	$194.53	$280.06	$461.43
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $195.59 / $406.32 / $406.32	Facility	26	$195.59	$406.32	$406.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,999.20 / $2,227.92 / $2,332.94	Professional		$1,999.20	$2,227.92	$2,332.94
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $684.00 / $684.00 / $684.30	Professional	26	$684.00	$684.00	$684.30
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,517.19 / $1,600.96 / $1,648.65	Professional	TC	$1,517.19	$1,600.96	$1,648.65
United Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $395.14 / $657.29	Professional		$267.32	$395.14	$657.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.20 / $123.40 / $202.04	Professional	26	$83.20	$123.40	$202.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $187.48 / $264.83 / $432.51	Professional	TC	$187.48	$264.83	$432.51