Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $123.03	Professional		$48.98	$66.07	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $54.95	Professional	26	$18.20	$21.88	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $41.69 / $75.86	Professional	TC	$30.20	$41.69	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $63.10 / $109.65	Professional		$31.62	$63.10	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $26.92 / $45.71	Professional	26	$12.59	$26.92	$45.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $35.48 / $64.57	Professional	TC	$18.62	$35.48	$64.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $12.59 / $23.44	Facility	26	$11.75	$12.59	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $123.03	Professional		$30.90	$46.77	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.62 / $51.29	Professional	26	$11.75	$18.62	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.70 / $79.43	Professional	TC	$18.62	$25.70	$79.43
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $707.95	Professional		$467.74	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $199.53 / $199.53	Professional	26	$186.21	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $501.19 / $501.19	Professional	TC	$309.03	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $95.50	Professional		$33.88	$52.48	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $22.91 / $46.77	Professional	26	$14.13	$22.91	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.84 / $56.23	Professional	TC	$19.05	$28.84	$56.23