Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.09 / $46.47 / $119.62	Facility	26	$45.09	$46.47	$119.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $100.26 / $145.56	Professional		$88.36	$100.26	$145.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.88 / $54.45 / $75.97	Professional	TC	$46.88	$54.45	$75.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $123.39 / $198.29	Professional		$91.26	$123.39	$198.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.70 / $65.89 / $107.75	Professional	TC	$46.70	$65.89	$107.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $119.22 / $225.09	Professional		$84.03	$119.22	$225.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.27 / $59.08 / $115.90	Professional	TC	$26.27	$59.08	$115.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $106.02 / $220.31 / $220.31	Facility	26	$106.02	$220.31	$220.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $646.83 / $646.83 / $736.05	Professional		$646.83	$646.83	$736.05
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $354.71 / $354.71 / $375.75	Professional	TC	$354.71	$354.71	$375.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $113.27 / $193.33	Professional		$78.97	$113.27	$193.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.65 / $57.31 / $99.23	Professional	TC	$36.65	$57.31	$99.23