Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $30.09 / $45.90	Professional		$27.22	$30.09	$45.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $24.63 / $31.46	Professional	26	$21.37	$24.63	$31.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.30 / $14.91 / $20.97	Professional	52	$13.30	$14.91	$20.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.65 / $4.22 / $9.36	Professional	TC	$3.65	$4.22	$9.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $27.45 / $53.88	Professional		$19.17	$27.45	$53.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.76 / $22.29 / $36.49	Professional	26	$15.76	$22.29	$36.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.17 / $3.62 / $13.35	Professional	TC	$2.17	$3.62	$13.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $40.26 / $87.25	Professional		$25.03	$40.26	$87.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.36 / $28.30 / $75.17	Professional	26	$18.36	$28.30	$75.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.93 / $39.08	Professional	TC	$3.02	$4.93	$39.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $57.67 / $112.04 / $123.79	Facility	26	$57.67	$112.04	$123.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $303.81 / $312.93 / $312.93	Professional		$303.81	$312.93	$312.93
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $156.38 / $156.38 / $198.75	Professional	26	$156.38	$156.38	$198.75
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $211.93 / $217.43 / $217.43	Professional	TC	$211.93	$217.43	$217.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $29.41 / $56.28	Professional		$22.74	$29.41	$56.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.29 / $22.60 / $37.11	Professional	26	$16.29	$22.60	$37.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.03 / $4.21 / $33.32	Professional	TC	$3.03	$4.21	$33.32