Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.98 / $26.05 / $117.13	Facility	26	$17.98	$26.05	$117.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $57.25 / $91.37	Professional		$52.53	$57.25	$91.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.41 / $19.02 / $28.71	Professional	26	$17.41	$19.02	$28.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $37.53 / $60.73	Professional	TC	$34.54	$37.53	$60.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $88.79 / $141.13	Professional		$51.39	$88.79	$141.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.01 / $31.53 / $50.10	Professional	26	$20.01	$31.53	$50.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.44 / $56.98 / $91.51	Professional	TC	$35.44	$56.98	$91.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.92 / $23.92 / $26.77	Facility	26	$23.92	$23.92	$26.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $82.72 / $141.63	Professional		$55.45	$82.72	$141.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $29.77 / $48.45	Professional	26	$18.82	$29.77	$48.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.97 / $53.59 / $94.39	Professional	TC	$35.97	$53.59	$94.39
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $68.72 / $101.94 / $101.94	Facility	26	$68.72	$101.94	$101.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $420.07 / $420.07 / $547.20	Professional		$420.07	$420.07	$547.20
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $132.09 / $132.09 / $166.95	Professional	26	$132.09	$132.09	$166.95
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $288.04 / $288.04 / $380.25	Professional	TC	$288.04	$288.04	$380.25
United Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $70.61 / $123.88	Professional		$58.84	$70.61	$123.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.02 / $25.80 / $45.48	Professional	26	$21.02	$25.80	$45.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $46.22 / $80.67	Professional	TC	$37.35	$46.22	$80.67