Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $112.20	Professional		$47.86	$57.54	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $42.66	Professional	26	$16.98	$19.95	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.02 / $63.10	Professional	TC	$30.90	$38.02	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $69.18 / $128.82	Professional		$34.67	$69.18	$128.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $25.70 / $47.86	Professional	26	$13.18	$25.70	$47.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $44.67 / $79.43	Professional	TC	$21.88	$44.67	$79.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $10.47 / $17.78	Facility	26	$9.77	$10.47	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $114.82	Professional		$29.51	$46.77	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $19.95 / $47.86	Professional	26	$11.48	$19.95	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.90 / $72.44	Professional	TC	$18.20	$30.90	$72.44
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $549.54	Professional		$436.52	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $190.55 / $190.55	Professional	26	$158.49	$190.55	$190.55
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $354.81 / $354.81	Professional	TC	$281.84	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $104.71	Professional		$33.11	$54.95	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $19.50 / $38.90	Professional	26	$11.75	$19.50	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $34.67 / $66.07	Professional	TC	$20.89	$34.67	$66.07