Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $97.72 / $257.04	Facility	26	$54.95	$97.72	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $457.09	Professional		$131.83	$245.47	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $63.10 / $173.78	Professional	26	$42.66	$63.10	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $162.18 / $323.59	Professional	TC	$81.28	$162.18	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $208.93	Professional		$87.10	$128.82	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $44.67 / $95.50	Professional	26	$34.67	$44.67	$95.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $107.15 / $112.20	Professional	TC	$30.20	$107.15	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $380.19	Professional		$120.23	$181.97	$380.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $77.62 / $120.23	Professional	26	$46.77	$77.62	$120.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $177.83 / $288.40	Professional	TC	$104.71	$177.83	$288.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $426.58	Professional		$131.83	$263.03	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $69.18 / $120.23	Professional	26	$40.74	$69.18	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $190.55 / $316.23	Professional	TC	$85.11	$190.55	$316.23
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	26	$426.58	$426.58	$426.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Professional	26	$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional	TC	$1,348.96	$1,348.96	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $354.81	Professional		$144.54	$239.88	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $58.88 / $100.00	Professional	26	$45.71	$58.88	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $158.49 / $239.88	Professional	TC	$95.50	$158.49	$239.88