Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.04 / $142.44 / $292.87	Facility	26	$103.04	$142.44	$292.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.43 / $445.36 / $483.04	Professional		$349.43	$445.36	$483.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.04 / $131.33 / $142.44	Professional	26	$103.04	$131.33	$142.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $246.39 / $314.02 / $340.60	Professional	TC	$246.39	$314.02	$340.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.38 / $395.26 / $730.90	Professional		$293.38	$395.26	$730.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.07 / $135.32 / $241.44	Professional	26	$101.07	$135.32	$241.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $197.40 / $260.88 / $515.37	Professional	TC	$197.40	$260.88	$515.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.86 / $459.46 / $693.72	Professional		$331.86	$459.46	$693.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.62 / $152.38 / $234.03	Professional	26	$109.62	$152.38	$234.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.84 / $304.07 / $455.19	Professional	TC	$230.84	$304.07	$455.19
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $243.55 / $507.92 / $507.92	Facility	26	$243.55	$507.92	$507.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,451.44 / $2,710.64 / $2,864.93	Professional		$2,451.44	$2,710.64	$2,864.93
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $764.48 / $785.60 / $859.80	Professional	26	$764.48	$785.60	$859.80
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,717.44 / $1,925.04 / $2,005.13	Professional	TC	$1,717.44	$1,925.04	$2,005.13
United Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $453.60 / $787.89	Professional		$292.50	$453.60	$787.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.61 / $162.83 / $248.69	Professional	26	$104.61	$162.83	$248.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.63 / $308.66 / $533.86	Professional	TC	$198.63	$308.66	$533.86