Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.91 / $37.96 / $148.05	Facility	26	$23.91	$37.96	$148.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $111.45 / $170.94	Professional		$90.73	$111.45	$170.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.50 / $25.28 / $41.50	Professional	26	$23.50	$25.28	$41.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $86.71 / $114.91	Professional	TC	$66.45	$86.71	$114.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $43.41 / $43.41	Professional	26	$43.41	$43.41	$43.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $144.19 / $283.14	Professional		$87.86	$144.19	$283.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.56 / $41.34 / $66.98	Professional	26	$25.56	$41.34	$66.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.53 / $105.40 / $208.84	Professional	TC	$68.53	$105.40	$208.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.15 / $32.15 / $33.84	Facility	26	$32.15	$32.15	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $142.83 / $255.24	Professional		$94.17	$142.83	$255.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.92 / $39.26 / $63.21	Professional	26	$23.92	$39.26	$63.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.34 / $104.89 / $185.96	Professional	TC	$67.34	$104.89	$185.96
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $136.56 / $136.56	Facility	26	$85.90	$136.56	$136.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $873.78 / $873.78 / $1,050.68	Professional		$873.78	$873.78	$1,050.68
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $198.13 / $198.13 / $226.28	Professional	26	$198.13	$198.13	$226.28
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $695.99 / $695.99 / $824.33	Professional	TC	$695.99	$695.99	$824.33
United Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $126.96 / $229.27	Professional		$100.52	$126.96	$229.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.29 / $34.20 / $60.64	Professional	26	$27.29	$34.20	$60.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.06 / $94.91 / $178.96	Professional	TC	$73.06	$94.91	$178.96