Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.68 / $39.57 / $202.86	Facility	26	$37.68	$39.57	$202.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $126.90 / $172.48	Professional		$56.89	$126.90	$172.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.57 / $39.58 / $53.29	Professional	26	$33.57	$39.58	$53.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.17 / $84.29 / $119.20	Professional	TC	$18.17	$84.29	$119.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $103.64 / $240.24	Professional		$64.16	$103.64	$240.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $55.96 / $88.88	Professional	26	$35.36	$55.96	$88.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $75.91 / $175.13	Professional	TC	$24.55	$75.91	$175.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.82 / $61.82 / $61.82	Facility	26	$61.82	$61.82	$61.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $143.74 / $248.93	Professional		$83.87	$143.74	$248.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.93 / $58.99 / $89.14	Professional	26	$37.93	$58.99	$89.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $87.57 / $209.01	Professional	TC	$17.05	$87.57	$209.01
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $200.31 / $200.31	Facility	26	$100.00	$200.31	$200.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $886.70 / $886.70 / $1,149.00	Professional		$886.70	$886.70	$1,149.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $414.43 / $414.43 / $414.43	Professional	26	$414.43	$414.43	$414.43
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $639.54 / $639.54 / $824.33	Professional	TC	$639.54	$639.54	$824.33
United Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $118.48 / $292.36	Professional		$60.31	$118.48	$292.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.74 / $46.74 / $101.90	Professional	26	$38.74	$46.74	$101.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.57 / $76.31 / $179.23	Professional	TC	$16.57	$76.31	$179.23