Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.82 / $35.40 / $40.82	Facility	26	$21.82	$35.40	$40.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $111.93 / $206.56	Professional		$85.30	$111.93	$206.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.83 / $24.28 / $53.83	Professional	26	$21.83	$24.28	$53.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.84 / $88.69 / $152.36	Professional	TC	$67.84	$88.69	$152.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.63 / $211.63 / $211.63	Professional		$211.63	$211.63	$211.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.54 / $28.98 / $57.83	Professional	26	$18.54	$28.98	$57.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $125.91 / $125.91 / $125.91	Professional	TC	$125.91	$125.91	$125.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $155.78 / $290.24	Professional		$98.23	$155.78	$290.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $40.13 / $63.13	Professional	26	$24.10	$40.13	$63.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.04 / $128.63 / $228.11	Professional	TC	$75.04	$128.63	$228.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.92 / $28.92 / $31.40	Facility	26	$28.92	$28.92	$31.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $136.08 / $264.62	Professional		$82.70	$136.08	$264.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.24 / $36.14 / $58.71	Professional	26	$22.24	$36.14	$58.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $106.04 / $205.91	Professional	TC	$55.03	$106.04	$205.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $76.08 / $122.88 / $122.88	Facility	26	$76.08	$122.88	$122.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $841.81 / $841.81 / $1,024.28	Professional		$841.81	$841.81	$1,024.28
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $202.73 / $205.77 / $205.77	Professional	26	$202.73	$205.77	$205.77
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $680.78 / $680.78 / $821.48	Professional	TC	$680.78	$680.78	$821.48
United Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $131.37 / $245.10	Professional		$82.70	$131.37	$245.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.18 / $30.78 / $54.68	Professional	26	$25.18	$30.78	$54.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.67 / $104.30 / $196.68	Professional	TC	$60.67	$104.30	$196.68