Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.42 / $24.42 / $159.02	Facility	26	$24.42	$24.42	$159.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $80.34 / $117.41	Professional		$74.90	$80.34	$117.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.33 / $55.55 / $86.27	Professional	TC	$51.33	$55.55	$86.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $143.04 / $213.35	Professional		$73.64	$143.04	$213.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.36 / $105.46 / $155.47	Professional	TC	$53.36	$105.46	$155.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $36.35	Facility	26	$31.62	$31.62	$36.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $116.09 / $207.54	Professional		$74.92	$116.09	$207.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.14 / $79.40 / $147.66	Professional	TC	$50.14	$79.40	$147.66
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $83.44 / $134.57 / $134.57	Facility	26	$83.44	$134.57	$134.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $673.71 / $673.71 / $738.53	Professional		$673.71	$673.71	$738.53
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $514.25 / $514.25 / $517.20	Professional	TC	$514.25	$514.25	$517.20
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $108.41 / $190.20	Professional		$85.27	$108.41	$190.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.69 / $72.48 / $128.22	Professional	TC	$54.69	$72.48	$128.22