Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $52.58 / $67.98	Professional		$49.29	$52.58	$67.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.35 / $19.32 / $24.40	Professional	26	$18.35	$19.32	$24.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.94 / $33.00 / $45.59	Professional	TC	$30.94	$33.00	$45.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $78.20 / $110.04	Professional		$57.18	$78.20	$110.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.45 / $32.71 / $49.22	Professional	26	$21.45	$32.71	$49.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.34 / $42.48 / $66.63	Professional	TC	$32.34	$42.48	$66.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.77 / $12.58 / $40.25	Facility	26	$11.77	$12.58	$40.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.51 / $111.23	Professional		$30.20	$47.51	$111.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $19.01 / $48.42	Professional	26	$11.69	$19.01	$48.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $26.51 / $73.93	Professional	TC	$17.62	$26.51	$73.93
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $58.48 / $112.04 / $123.31	Facility	26	$58.48	$112.04	$123.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $466.08 / $466.08 / $704.18	Professional		$466.08	$466.08	$704.18
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $186.58 / $186.58 / $198.23	Professional	26	$186.58	$186.58	$198.23
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $309.75 / $309.75 / $505.88	Professional	TC	$309.75	$309.75	$505.88
United Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $52.05 / $133.97	Professional		$31.70	$52.05	$133.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.17 / $23.28 / $46.39	Professional	26	$14.17	$23.28	$46.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.35 / $29.83 / $77.92	Professional	TC	$19.35	$29.83	$77.92