Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.34 / $48.17 / $177.14	Facility	26	$42.34	$48.17	$177.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $136.21 / $252.95	Professional		$109.45	$136.21	$252.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.20 / $43.80 / $79.18	Professional	26	$31.20	$43.80	$79.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $91.96 / $164.13	Professional	TC	$79.54	$91.96	$164.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.28 / $247.28 / $247.28	Professional		$247.28	$247.28	$247.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.24 / $54.42 / $112.08	Professional	26	$36.24	$54.42	$112.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.43 / $211.25 / $348.90	Professional		$124.43	$211.25	$348.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.57 / $71.55 / $123.32	Professional	26	$42.57	$71.55	$123.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.52 / $149.19 / $243.68	Professional	TC	$88.52	$149.19	$243.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.49 / $40.49 / $55.98	Facility	26	$40.49	$40.49	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $173.49 / $334.82	Professional		$114.27	$173.49	$334.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.42 / $52.82 / $99.48	Professional	26	$34.42	$52.82	$99.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.36 / $130.03 / $240.69	Professional	TC	$76.36	$130.03	$240.69
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $115.49 / $238.64 / $238.64	Facility	26	$115.49	$238.64	$238.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.78 / $1,019.78 / $1,259.03	Professional		$1,019.78	$1,019.78	$1,259.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $310.80 / $310.80 / $389.40	Professional	26	$310.80	$310.80	$389.40
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $708.98 / $708.98 / $869.63	Professional	TC	$708.98	$708.98	$869.63
United Facility/Professional Professional Modifier Low / Median / High Price $113.58 / $168.52 / $289.92	Professional		$113.58	$168.52	$289.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.90 / $53.05 / $99.98	Professional	26	$33.90	$53.05	$99.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.54 / $115.33 / $207.16	Professional	TC	$88.54	$115.33	$207.16