Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.77 / $107.32 / $132.41	Facility	26	$89.77	$107.32	$132.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $336.22 / $411.52 / $566.69	Professional	TC	$336.22	$411.52	$566.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $382.67 / $515.49 / $806.32	Professional	TC	$382.67	$515.49	$806.32
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $269.57 / $578.12 / $578.12	Facility	26	$269.57	$578.12	$578.12
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,779.03 / $2,779.03 / $3,700.20	Professional	TC	$2,779.03	$2,779.03	$3,700.20
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $495.53 / $646.35 / $785.76	Professional	TC	$495.53	$646.35	$785.76
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $384.50 / $529.91 / $796.25	Professional	TC	$384.50	$529.91	$796.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $309.38 / $428.18 / $688.90	Professional	TC	$309.38	$428.18	$688.90
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $360.55 / $421.45 / $574.01	Professional	TC	$360.55	$421.45	$574.01