Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $42.66 / $147.91	Facility	26	$38.02	$42.66	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $199.53	Professional		$83.18	$117.49	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.92 / $64.57	Professional	26	$19.95	$26.92	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $91.20 / $158.49	Professional	TC	$69.18	$91.20	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $234.42	Professional		$75.86	$89.13	$234.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $28.18 / $43.65	Professional	26	$25.12	$28.18	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $251.19	Professional		$70.79	$112.20	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $42.66 / $67.61	Professional	26	$26.30	$42.66	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $114.82 / $218.78	Professional	TC	$72.44	$114.82	$218.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $229.09	Professional		$93.33	$131.83	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $35.48 / $63.10	Professional	26	$23.44	$35.48	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $102.33 / $199.53	Professional	TC	$69.18	$102.33	$199.53
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,096.48	Professional		$851.14	$1,096.48	$1,096.48
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $218.78 / $218.78	Professional	26	$213.80	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $691.83 / $870.96 / $870.96	Professional	TC	$691.83	$870.96	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $223.87	Professional		$100.00	$123.03	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.90 / $53.70	Professional	26	$25.12	$30.90	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $91.20 / $169.82	Professional	TC	$74.13	$91.20	$169.82