Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.62 / $46.39 / $50.32	Facility	26	$28.62	$46.39	$50.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $99.38 / $167.83	Professional		$91.59	$99.38	$167.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.97 / $31.21 / $49.90	Professional	26	$27.97	$31.21	$49.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.97 / $68.67 / $99.58	Professional	TC	$62.97	$68.67	$99.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.26 / $164.87 / $181.39	Professional		$105.26	$164.87	$181.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.47 / $33.65 / $76.33	Professional	26	$24.47	$33.65	$76.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $154.80 / $244.93	Professional		$87.35	$154.80	$244.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.68 / $51.26 / $82.33	Professional	26	$31.68	$51.26	$82.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.42 / $103.97 / $172.26	Professional	TC	$64.42	$103.97	$172.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $140.66 / $239.91	Professional		$90.46	$140.66	$239.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.89 / $47.16 / $76.83	Professional	26	$28.89	$47.16	$76.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.90 / $95.39 / $165.07	Professional	TC	$61.90	$95.39	$165.07
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $78.25 / $162.16 / $162.16	Facility	26	$78.25	$162.16	$162.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $730.62 / $730.62 / $905.33	Professional		$730.62	$730.62	$905.33
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $210.44 / $210.44 / $267.68	Professional	26	$210.44	$210.44	$267.68
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $520.19 / $520.19 / $637.65	Professional	TC	$520.19	$520.19	$637.65
United Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $121.32 / $217.60	Professional		$99.39	$121.32	$217.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.88 / $41.08 / $71.45	Professional	26	$32.88	$41.08	$71.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.87 / $80.23 / $140.79	Professional	TC	$66.87	$80.23	$140.79