Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.78 / $20.69 / $124.69	Facility	26	$19.78	$20.69	$124.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $119.00 / $168.80	Professional		$107.36	$119.00	$168.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.00 / $98.09 / $132.38	Professional	TC	$86.00	$98.09	$132.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $159.56 / $279.27	Professional		$97.27	$159.56	$279.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.25 / $125.51 / $248.42	Professional	TC	$79.25	$125.51	$248.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $28.50	Facility	26	$26.26	$26.26	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $149.49 / $268.23	Professional		$99.00	$149.49	$268.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.09 / $117.16 / $218.36	Professional	TC	$78.09	$117.16	$218.36
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $73.63 / $113.57 / $113.57	Facility	26	$73.63	$113.57	$113.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $923.37 / $923.37 / $1,172.33	Professional		$923.37	$923.37	$1,172.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $778.42 / $778.42 / $986.78	Professional	TC	$778.42	$778.42	$986.78
United Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $135.22 / $246.51	Professional		$103.61	$135.22	$246.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.64 / $110.78 / $201.34	Professional	TC	$78.64	$110.78	$201.34