Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $114.82 / $147.91	Facility	26	$54.95	$114.82	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $323.59	Professional		$147.91	$177.83	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $61.66 / $131.83	Professional	26	$52.48	$61.66	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $112.20 / $194.98	Professional	TC	$93.33	$112.20	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $616.60	Professional		$251.19	$354.81	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $79.43 / $125.89	Professional	26	$57.54	$79.43	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $338.84 / $537.03	Professional	TC	$234.42	$338.84	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $66.07 / $93.33	Facility	26	$14.13	$66.07	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $575.44	Professional		$269.15	$354.81	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $72.44 / $112.20	Professional	26	$56.23	$72.44	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $288.40 / $467.74	Professional	TC	$204.17	$288.40	$467.74
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	26	$371.54	$371.54	$371.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,778.28	Professional		$1,445.44	$1,445.44	$1,778.28
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $467.74 / $467.74	Professional	26	$371.54	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,122.02 / $1,122.02 / $1,445.44	Professional	TC	$1,122.02	$1,122.02	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $575.44	Professional		$257.04	$331.13	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $67.61 / $114.82	Professional	26	$54.95	$67.61	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $269.15 / $457.09	Professional	TC	$199.53	$269.15	$457.09