Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.80 / $437.06 / $461.69	Facility	26	$135.80	$437.06	$461.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.24 / $516.02 / $618.32	Professional		$409.24	$516.02	$618.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.12 / $134.96 / $155.65	Professional	26	$85.12	$134.96	$155.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.52 / $385.90 / $469.26	Professional	TC	$266.52	$385.90	$469.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.36 / $625.32 / $941.28	Professional		$299.36	$625.32	$941.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.02 / $131.19 / $209.03	Professional	26	$81.02	$131.19	$209.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $256.38 / $518.57 / $761.61	Professional	TC	$256.38	$518.57	$761.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.94 / $87.94 / $97.37	Facility	26	$87.94	$87.94	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.81 / $575.00 / $903.14	Professional		$295.81	$575.00	$903.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.50 / $125.08 / $207.06	Professional	26	$72.50	$125.08	$207.06
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $580.67 / $580.67 / $580.67	Professional	50	$580.67	$580.67	$580.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.08 / $449.86 / $725.34	Professional	TC	$224.08	$449.86	$725.34
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $779.12 / $779.12 / $795.52	Facility	26	$779.12	$779.12	$795.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,018.44 / $3,045.40 / $3,045.40	Professional		$3,018.44	$3,045.40	$3,045.40
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $850.86 / $850.86 / $850.86	Professional	26	$850.86	$850.86	$850.86
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,546.60 / $2,573.94 / $2,616.37	Professional	TC	$2,546.60	$2,573.94	$2,616.37
United Facility/Professional Professional Modifier Low / Median / High Price $362.15 / $510.45 / $790.21	Professional		$362.15	$510.45	$790.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.59 / $105.66 / $184.06	Professional	26	$85.59	$105.66	$184.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $270.56 / $403.87 / $630.07	Professional	TC	$270.56	$403.87	$630.07