Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $102.33 / $147.91	Facility	26	$54.95	$102.33	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $363.08	Professional		$72.44	$138.04	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $51.29 / $97.72	Professional	26	$25.70	$51.29	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $91.20 / $229.09	Professional	TC	$47.86	$91.20	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $109.65	Professional		$81.28	$95.50	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $30.20 / $46.77	Professional	26	$20.42	$30.20	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $218.78	Professional		$69.18	$107.15	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $42.66 / $70.79	Professional	26	$27.54	$42.66	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $104.71 / $173.78	Professional	TC	$66.07	$104.71	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	26	$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $269.15	Professional		$83.18	$131.83	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.90 / $70.79	Professional	26	$23.99	$38.90	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $91.20 / $194.98	Professional	TC	$57.54	$91.20	$194.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	26	$251.19	$251.19	$251.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $851.14	Professional		$660.69	$851.14	$851.14
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $223.87 / $223.87	Professional	26	$173.78	$223.87	$223.87
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $630.96 / $630.96	Professional	TC	$489.78	$630.96	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $194.98	Professional		$91.20	$114.82	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $32.36 / $56.23	Professional	26	$26.30	$32.36	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $81.28 / $141.25	Professional	TC	$61.66	$81.28	$141.25