Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.85 / $41.07 / $105.69	Facility	26	$39.85	$41.07	$105.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $133.56 / $221.12	Professional		$104.85	$133.56	$221.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.68 / $43.90 / $76.80	Professional	26	$38.68	$43.90	$76.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.73 / $88.15 / $136.66	Professional	TC	$65.73	$88.15	$136.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $134.56 / $194.24	Professional		$84.94	$134.56	$194.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.75 / $57.18 / $84.58	Professional	26	$39.75	$57.18	$84.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.60 / $76.75 / $121.87	Professional	TC	$40.60	$76.75	$121.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.14 / $47.14 / $57.35	Facility	26	$47.14	$47.14	$57.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $144.77 / $250.73	Professional		$97.36	$144.77	$250.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.75 / $52.06 / $94.31	Professional	26	$38.75	$52.06	$94.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.08 / $88.05 / $164.19	Professional	TC	$52.08	$88.05	$164.19
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $214.20 / $214.20	Facility	26	$100.00	$214.20	$214.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $802.94 / $834.21 / $1,319.18	Professional		$802.94	$834.21	$1,319.18
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $261.89 / $261.89 / $336.38	Professional	26	$261.89	$261.89	$336.38
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $595.82 / $595.82 / $982.73	Professional	TC	$595.82	$595.82	$982.73
United Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $121.70 / $232.22	Professional		$90.05	$121.70	$232.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.63 / $50.57 / $93.09	Professional	26	$39.63	$50.57	$93.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.70 / $69.02 / $153.04	Professional	TC	$52.70	$69.02	$153.04