Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.29 / $56.30 / $280.77	Facility	26	$56.29	$56.30	$280.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $127.45 / $216.53	Professional		$108.71	$127.45	$216.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $58.24 / $100.10	Professional	26	$49.65	$58.24	$100.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.47 / $66.75 / $163.68	Professional	TC	$51.47	$66.75	$163.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.47 / $97.74 / $97.74	Professional	26	$28.47	$97.74	$97.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.23 / $216.16 / $346.60	Professional		$106.23	$216.16	$346.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.63 / $87.76 / $154.01	Professional	26	$52.63	$87.76	$154.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.01 / $130.57 / $249.83	Professional	TC	$64.01	$130.57	$249.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.18 / $64.18 / $77.09	Facility	26	$64.18	$64.18	$77.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $213.86 / $632.26	Professional		$109.18	$213.86	$632.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.41 / $80.72 / $136.52	Professional	26	$53.41	$80.72	$136.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.10 / $116.01 / $545.11	Professional	TC	$56.10	$116.01	$545.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $155.03 / $317.02 / $317.02	Facility	26	$155.03	$317.02	$317.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,098.01 / $3,190.96 / $3,190.96	Professional		$3,098.01	$3,190.96	$3,190.96
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $636.41 / $636.41 / $636.41	Professional	26	$636.41	$636.41	$636.41
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,808.09 / $2,892.33 / $2,892.33	Professional	TC	$2,808.09	$2,892.33	$2,892.33
United Facility/Professional Professional Modifier Low / Median / High Price $129.59 / $205.90 / $524.26	Professional		$129.59	$205.90	$524.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.77 / $74.76 / $136.46	Professional	26	$56.77	$74.76	$136.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.30 / $101.71 / $293.99	Professional	TC	$63.30	$101.71	$293.99