Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.42 / $57.11 / $146.99	Facility	26	$55.42	$57.11	$146.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.85 / $163.85 / $280.63	Professional		$147.85	$163.85	$280.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $58.60 / $90.52	Professional	26	$53.70	$58.60	$90.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.45 / $104.91 / $190.10	Professional	TC	$93.45	$104.91	$190.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.31 / $381.73 / $582.45	Professional		$263.31	$381.73	$582.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.41 / $73.54 / $114.80	Professional	26	$51.41	$73.54	$114.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $216.89 / $307.02 / $480.75	Professional	TC	$216.89	$307.02	$480.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.70 / $66.70 / $66.70	Facility	26	$66.70	$66.70	$66.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.69 / $360.86 / $636.34	Professional		$267.69	$360.86	$636.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.45 / $72.92 / $129.31	Professional	26	$55.45	$72.92	$129.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.42 / $289.51 / $507.03	Professional	TC	$206.42	$289.51	$507.03
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $134.77 / $286.66 / $286.66	Facility	26	$134.77	$286.66	$286.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.95 / $1,731.57 / $1,779.01	Professional		$1,432.95	$1,731.57	$1,779.01
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $367.94 / $367.94 / $467.10	Professional	26	$367.94	$367.94	$467.10
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,115.23 / $1,410.54 / $1,449.19	Professional	TC	$1,115.23	$1,410.54	$1,449.19
United Facility/Professional Professional Modifier Low / Median / High Price $260.72 / $349.75 / $604.26	Professional		$260.72	$349.75	$604.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.68 / $73.72 / $127.97	Professional	26	$54.68	$73.72	$127.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.29 / $281.86 / $485.99	Professional	TC	$200.29	$281.86	$485.99