Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.57 / $48.17 / $68.40	Facility	26	$36.57	$48.17	$68.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $121.69 / $212.26	Professional		$109.14	$121.69	$212.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $37.85 / $69.20	Professional	26	$29.91	$37.85	$69.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $86.26 / $148.36	Professional	TC	$79.23	$86.26	$148.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.37 / $211.37 / $211.37	Professional		$211.37	$211.37	$211.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.27 / $43.00 / $97.30	Professional	26	$31.27	$43.00	$97.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $187.23 / $322.82	Professional		$110.26	$187.23	$322.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.39 / $61.84 / $107.16	Professional	26	$40.39	$61.84	$107.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.06 / $128.12 / $213.61	Professional	TC	$82.06	$128.12	$213.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.49 / $40.49 / $48.64	Facility	26	$40.49	$40.49	$48.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $158.09 / $299.91	Professional		$105.96	$158.09	$299.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.82 / $50.41 / $87.30	Professional	26	$33.82	$50.41	$87.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.77 / $110.57 / $208.84	Professional	TC	$70.77	$110.57	$208.84
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.12 / $207.05 / $207.05	Facility	26	$100.12	$207.05	$207.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $927.52 / $927.52 / $1,140.83	Professional		$927.52	$927.52	$1,140.83
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $268.38 / $268.38 / $339.15	Professional	26	$268.38	$268.38	$339.15
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $659.08 / $659.08 / $801.68	Professional	TC	$659.08	$659.08	$801.68
United Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $147.46 / $260.10	Professional		$104.86	$147.46	$260.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.71 / $46.29 / $89.04	Professional	26	$34.71	$46.29	$89.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.94 / $101.61 / $178.28	Professional	TC	$75.94	$101.61	$178.28