Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $173.78	Professional		$74.13	$100.00	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.98 / $32.36	Professional	26	$14.13	$16.98	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $83.18 / $141.25	Professional	TC	$60.26	$83.18	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $223.87	Professional		$66.07	$91.20	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $29.51 / $47.86	Professional	26	$18.62	$29.51	$47.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $97.72 / $204.17	Professional	TC	$60.26	$97.72	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $204.17	Professional		$64.57	$104.71	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $24.55 / $42.66	Professional	26	$16.60	$24.55	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $85.11 / $177.83	Professional	TC	$45.71	$85.11	$177.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $933.25	Professional		$758.58	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	26	$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $630.96 / $776.25 / $776.25	Professional	TC	$630.96	$776.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $194.98	Professional		$64.57	$104.71	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.38 / $37.15	Professional	26	$17.38	$21.38	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $85.11 / $162.18	Professional	TC	$45.71	$85.11	$162.18