Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.73 / $118.35 / $176.71	Facility	26	$57.73	$118.35	$176.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.47 / $428.09 / $704.86	Professional		$358.47	$428.09	$704.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.94 / $63.62 / $103.40	Professional	26	$53.94	$63.62	$103.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $179.24 / $207.70 / $312.52	Professional	52	$179.24	$207.70	$312.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $300.74 / $374.90 / $596.55	Professional	TC	$300.74	$374.90	$596.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.88 / $544.78 / $820.77	Professional		$366.88	$544.78	$820.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.52 / $83.95 / $125.19	Professional	26	$57.52	$83.95	$125.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $310.41 / $460.81 / $714.60	Professional	TC	$310.41	$460.81	$714.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.82 / $543.40 / $967.80	Professional		$394.82	$543.40	$967.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.58 / $87.75 / $147.02	Professional	26	$59.58	$87.75	$147.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $329.35 / $462.36 / $814.16	Professional	TC	$329.35	$462.36	$814.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $141.82 / $495.00 / $495.00	Facility	26	$141.82	$495.00	$495.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,899.13 / $2,986.11 / $3,500.93	Professional		$2,899.13	$2,986.11	$3,500.93
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $873.43 / $873.43 / $873.43	Professional	26	$873.43	$873.43	$873.43
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,483.58 / $2,558.09 / $3,038.18	Professional	TC	$2,483.58	$2,558.09	$3,038.18
United Facility/Professional Professional Modifier Low / Median / High Price $374.76 / $526.16 / $894.16	Professional		$374.76	$526.16	$894.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $82.70 / $140.79	Professional	26	$56.84	$82.70	$140.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $305.81 / $449.50 / $730.17	Professional	TC	$305.81	$449.50	$730.17