Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.51 / $26.29 / $67.67	Facility	26	$25.51	$26.29	$67.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $156.50 / $251.08	Professional		$127.04	$156.50	$251.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.16 / $128.18 / $202.77	Professional	TC	$103.16	$128.18	$202.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $175.19 / $273.44	Professional		$125.59	$175.19	$273.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.43 / $137.80 / $219.22	Professional	TC	$98.43	$137.80	$219.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.50 / $177.25 / $321.39	Professional		$104.50	$177.25	$321.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.50 / $145.03 / $273.51	Professional	TC	$63.50	$145.03	$273.51
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $62.61 / $121.12 / $132.62	Facility	26	$62.61	$121.12	$132.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $964.87 / $964.87 / $1,490.25	Professional		$964.87	$964.87	$1,490.25
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $798.40 / $798.40 / $1,274.84	Professional	TC	$798.40	$798.40	$1,274.84
United Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $156.83 / $282.29	Professional		$104.30	$156.83	$282.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.37 / $128.13 / $222.74	Professional	TC	$70.37	$128.13	$222.74