Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.03 / $28.27 / $185.54	Facility	26	$27.03	$28.27	$185.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $74.72 / $115.22	Professional		$62.99	$74.72	$115.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.49 / $29.80 / $50.55	Professional	26	$26.49	$29.80	$50.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.54 / $43.03 / $68.65	Professional	TC	$36.54	$43.03	$68.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $106.46 / $166.48	Professional		$57.01	$106.46	$166.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.67 / $45.69 / $71.45	Professional	26	$26.67	$45.69	$71.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.22 / $61.84 / $99.15	Professional	TC	$36.22	$61.84	$99.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.24 / $36.24 / $36.24	Facility	26	$36.24	$36.24	$36.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $106.67 / $183.14	Professional		$65.15	$106.67	$183.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.01 / $42.73 / $72.40	Professional	26	$28.01	$42.73	$72.40
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $145.44 / $145.44 / $145.44	Professional	50	$145.44	$145.44	$145.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.99 / $62.14 / $113.31	Professional	TC	$35.99	$62.14	$113.31
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $93.26 / $161.31 / $161.31	Facility	26	$93.26	$161.31	$161.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $583.91 / $603.17 / $618.45	Professional		$583.91	$603.17	$618.45
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $335.18 / $335.18 / $335.18	Professional	26	$335.18	$335.18	$335.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $353.01 / $360.07 / $360.45	Professional	TC	$353.01	$360.07	$360.45
United Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $107.24 / $176.86	Professional		$84.13	$107.24	$176.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.13 / $42.18 / $74.39	Professional	26	$33.13	$42.18	$74.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.19 / $66.54 / $106.49	Professional	TC	$52.19	$66.54	$106.49