Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.43 / $84.13 / $504.26	Facility	26	$80.43	$84.13	$504.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $128.06 / $220.70	Professional		$116.80	$128.06	$220.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.07 / $44.10 / $73.64	Professional	TC	$40.07	$44.10	$73.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $190.36 / $324.14	Professional		$45.32	$190.36	$324.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.43 / $69.22 / $102.91	Professional	TC	$42.43	$69.22	$102.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.26 / $115.26 / $115.26	Facility	26	$115.26	$115.26	$115.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $211.56 / $366.66	Professional		$124.73	$211.56	$366.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.40 / $72.28 / $152.85	Professional	TC	$43.40	$72.28	$152.85
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $219.19 / $454.05 / $454.05	Facility	26	$219.19	$454.05	$454.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.00 / $1,161.00 / $1,194.83	Professional		$1,161.00	$1,161.00	$1,194.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $585.04 / $602.60 / $602.60	Professional	TC	$585.04	$602.60	$602.60
United Facility/Professional Professional Modifier Low / Median / High Price $142.82 / $194.45 / $378.22	Professional		$142.82	$194.45	$378.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.33 / $58.86 / $127.88	Professional	TC	$48.33	$58.86	$127.88