Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.00 / $374.00 / $494.76	Facility	26	$200.00	$374.00	$494.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $200.00 / $375.00	Professional	26	$100.00	$200.00	$375.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.91 / $138.18 / $213.38	Professional	26	$90.91	$138.18	$213.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.89 / $158.65 / $214.97	Professional	26	$78.89	$158.65	$214.97
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $830.48 / $830.48 / $960.00	Facility	26	$830.48	$830.48	$960.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,192.32 / $1,463.88 / $1,503.99	Professional	26	$1,192.32	$1,463.88	$1,503.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.41 / $117.49 / $241.06	Professional	26	$91.41	$117.49	$241.06