Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.62 / $41.43 / $50.32	Facility	26	$28.62	$41.43	$50.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $75.22 / $129.50	Professional		$69.23	$75.22	$129.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.97 / $31.21 / $60.66	Professional	26	$27.97	$31.21	$60.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.61 / $44.21 / $69.05	Professional	TC	$40.61	$44.21	$69.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.08 / $52.36 / $76.33	Professional	26	$27.08	$52.36	$76.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $118.49 / $188.66	Professional		$66.70	$118.49	$188.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.68 / $51.26 / $82.37	Professional	26	$31.68	$51.26	$82.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.73 / $67.58 / $112.71	Professional	TC	$41.73	$67.58	$112.71
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 $69.20 / $106.91 / $182.02	Professional		$69.20	$106.91	$182.02
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 $39.89 / $61.54 / $106.38	Professional	TC	$39.89	$61.54	$106.38
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 $546.16 / $546.16 / $678.98	Professional		$546.16	$546.16	$678.98
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 $335.78 / $335.78 / $411.38	Professional	TC	$335.78	$335.78	$411.38
United Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $92.75 / $156.13	Professional		$75.36	$92.75	$156.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.71 / $39.51 / $71.22	Professional	26	$32.71	$39.51	$71.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.06 / $51.67 / $90.66	Professional	TC	$43.06	$51.67	$90.66