Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $28.84 / $173.78	Facility	26	$24.55	$28.84	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $199.53	Professional		$74.13	$97.72	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $35.48 / $77.62	Professional	26	$21.88	$35.48	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $69.18 / $123.03	Professional	TC	$51.29	$69.18	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $158.49	Professional		$83.18	$95.50	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $29.51 / $66.07	Professional	26	$21.38	$29.51	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $208.93	Professional		$63.10	$100.00	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $42.66 / $72.44	Professional	26	$27.54	$42.66	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $93.33 / $162.18	Professional	TC	$60.26	$93.33	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $190.55	Professional		$74.13	$102.33	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.88 / $61.66	Professional	26	$22.39	$33.88	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $72.44 / $141.25	Professional	TC	$48.98	$72.44	$141.25
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $812.83	Professional		$645.65	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $229.09 / $229.09	Professional	26	$181.97	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $575.44 / $575.44	Professional	TC	$467.74	$575.44	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $177.83	Professional		$70.79	$97.72	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.20 / $57.54	Professional	26	$22.39	$30.20	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $67.61 / $120.23	Professional	TC	$48.98	$67.61	$120.23