Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.56 / $21.19 / $54.53	Facility	26	$20.56	$21.19	$54.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $42.87 / $134.22	Professional		$33.35	$42.87	$134.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $22.88 / $41.06	Professional	26	$19.18	$22.88	$41.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.27 / $17.85 / $88.56	Professional	TC	$14.27	$17.85	$88.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $55.80 / $142.08	Professional		$34.01	$55.80	$142.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.43 / $32.94 / $52.74	Professional	26	$20.43	$32.94	$52.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.52 / $23.66 / $96.65	Professional	TC	$14.52	$23.66	$96.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.05 / $24.05 / $29.36	Facility	26	$24.05	$24.05	$29.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $59.78 / $176.42	Professional		$35.67	$59.78	$176.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $32.61 / $58.75	Professional	26	$20.05	$32.61	$58.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.34 / $24.37 / $131.91	Professional	TC	$14.34	$24.37	$131.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $201.45 / $201.45	Facility	26	$100.00	$201.45	$201.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $764.92 / $787.87 / $787.87	Professional		$764.92	$787.87	$787.87
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $203.00 / $382.94 / $382.94	Professional	26	$203.00	$382.94	$382.94
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $585.86 / $603.44 / $603.44	Professional	TC	$585.86	$603.44	$603.44
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $57.24 / $136.43	Professional		$36.52	$57.24	$136.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.15 / $27.18 / $52.08	Professional	26	$21.15	$27.18	$52.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.15 / $20.35 / $85.73	Professional	TC	$15.15	$20.35	$85.73