Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.95 / $37.20 / $140.96	Facility	26	$22.95	$37.20	$140.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $109.98 / $183.21	Professional		$97.57	$109.98	$183.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $24.27 / $41.62	Professional	26	$22.41	$24.27	$41.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $85.98 / $153.71	Professional	TC	$73.93	$85.98	$153.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.16 / $42.16 / $42.16	Professional	26	$42.16	$42.16	$42.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $149.00 / $287.64	Professional		$89.15	$149.00	$287.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.08 / $40.10 / $63.68	Professional	26	$24.08	$40.10	$63.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.20 / $109.17 / $216.03	Professional	TC	$68.20	$109.17	$216.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.37 / $30.37 / $32.22	Facility	26	$30.37	$30.37	$32.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.51 / $142.27 / $250.97	Professional		$97.51	$142.27	$250.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.10 / $37.99 / $60.32	Professional	26	$23.10	$37.99	$60.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.84 / $106.21 / $198.11	Professional	TC	$72.84	$106.21	$198.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $131.81 / $131.81	Facility	26	$85.90	$131.81	$131.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $859.12 / $859.12 / $1,089.08	Professional		$859.12	$859.12	$1,089.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $211.35 / $211.35 / $216.60	Professional	26	$211.35	$211.35	$216.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $689.44 / $689.44 / $872.40	Professional	TC	$689.44	$689.44	$872.40
United Facility/Professional Professional Modifier Low / Median / High Price $102.79 / $125.37 / $227.34	Professional		$102.79	$125.37	$227.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.18 / $32.21 / $56.51	Professional	26	$26.18	$32.21	$56.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.43 / $94.19 / $177.59	Professional	TC	$78.43	$94.19	$177.59