Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $28.84 / $28.84	Facility	26	$14.13	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $79.43	Professional		$38.90	$52.48	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $25.70	Professional	26	$12.02	$15.14	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $34.67 / $54.95	Professional	TC	$28.84	$34.67	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $64.57 / $107.15	Professional		$33.88	$64.57	$107.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.44 / $34.67	Professional	26	$16.60	$23.44	$34.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $51.29 / $77.62	Professional	TC	$37.15	$51.29	$77.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.39 / $15.85 / $22.39	Facility	26	$3.39	$15.85	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $123.03	Professional		$48.98	$70.79	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.38 / $38.02	Professional	26	$14.79	$21.38	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $48.98 / $85.11	Professional	TC	$33.11	$48.98	$85.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $109.65 / $109.65	Professional	26	$91.20	$109.65	$109.65
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $234.42 / $234.42	Professional	TC	$223.87	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $97.72	Professional		$45.71	$60.26	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.62 / $30.90	Professional	26	$13.18	$18.62	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $41.69 / $67.61	Professional	TC	$31.62	$41.69	$67.61