Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $53.97 / $208.31	Facility		$20.35	$53.97	$208.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.79 / $2.88 / $7.41	Facility	26	$2.79	$2.88	$7.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $25.97 / $41.53	Professional		$18.60	$25.97	$41.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.71 / $3.58 / $5.70	Professional	26	$2.71	$3.58	$5.70
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.19 / $10.59 / $16.41	Professional	52	$9.19	$10.59	$16.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.17 / $22.29 / $34.51	Professional	TC	$16.17	$22.29	$34.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $30.00 / $53.56	Professional		$18.05	$30.00	$53.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.74 / $4.58 / $14.54	Professional	26	$2.74	$4.58	$14.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.99 / $26.16 / $40.49	Professional	TC	$15.99	$26.16	$40.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.62 / $46.47	Facility		$26.10	$26.62	$46.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.41 / $3.41 / $4.00	Facility	26	$3.41	$3.41	$4.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $30.96 / $63.95	Professional		$18.97	$30.96	$63.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.78 / $4.59 / $15.00	Professional	26	$2.78	$4.59	$15.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.63 / $25.53 / $50.54	Professional	TC	$15.63	$25.53	$50.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $132.93 / $132.93	Facility		$68.06	$132.93	$132.93
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $13.48 / $100.00 / $100.00	Facility	26	$13.48	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $311.26 / $311.26 / $311.26	Professional		$311.26	$311.26	$311.26
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $129.00 / $129.00 / $129.00	Professional	26	$129.00	$129.00	$129.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $252.63 / $252.63 / $252.63	Professional	TC	$252.63	$252.63	$252.63
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $26.16 / $49.74	Professional		$19.98	$26.16	$49.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.95 / $3.82 / $8.44	Professional	26	$2.95	$3.82	$8.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.02 / $21.28 / $39.65	Professional	TC	$17.02	$21.28	$39.65