Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $199.53	Professional		$77.62	$102.33	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $52.48 / $169.82	Professional	26	$22.39	$52.48	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $70.79 / $144.54	Professional	TC	$56.23	$70.79	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $173.78	Professional		$52.48	$91.20	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $31.62 / $56.23	Professional	26	$16.22	$31.62	$56.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $58.88 / $120.23	Professional	TC	$34.67	$58.88	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $12.30 / $21.38	Facility	26	$11.75	$12.30	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $158.49	Professional		$50.12	$74.13	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $24.55 / $60.26	Professional	26	$15.49	$24.55	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $52.48 / $123.03	Professional	TC	$35.48	$52.48	$123.03
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,096.48	Professional		$724.44	$1,096.48	$1,096.48
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $263.03 / $263.03	Professional	26	$199.53	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $831.76 / $831.76	Professional	TC	$537.03	$831.76	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $151.36	Professional		$39.81	$69.18	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $22.91 / $45.71	Professional	26	$14.13	$22.91	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $45.71 / $107.15	Professional	TC	$26.30	$45.71	$107.15