Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.32 / $39.32 / $88.15	Facility	26	$39.32	$39.32	$88.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $92.86 / $163.13	Professional		$80.53	$92.86	$163.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $39.61 / $68.34	Professional	26	$15.71	$39.61	$68.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.47 / $55.37 / $146.43	Professional	TC	$43.47	$55.37	$146.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $68.27 / $68.27	Professional		$68.27	$68.27	$68.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.03 / $31.03 / $35.60	Professional	26	$31.03	$31.03	$35.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.89 / $150.82 / $267.25	Professional		$72.89	$150.82	$267.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.18 / $30.91 / $97.95	Professional	26	$18.18	$30.91	$97.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.32 / $108.86 / $222.48	Professional	TC	$53.32	$108.86	$222.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.14 / $20.14 / $52.72	Facility	26	$20.14	$20.14	$52.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $152.16 / $582.59	Professional		$80.52	$152.16	$582.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.96 / $32.95 / $92.45	Professional	26	$17.96	$32.95	$92.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.24 / $98.47 / $545.11	Professional	TC	$48.24	$98.47	$545.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $108.25 / $220.50 / $220.50	Facility	26	$108.25	$220.50	$220.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,899.89 / $2,986.89 / $2,986.89	Professional		$2,899.89	$2,986.89	$2,986.89
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $425.60 / $425.60 / $425.60	Professional	26	$425.60	$425.60	$425.60
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 $98.74 / $142.62 / $481.38	Professional		$98.74	$142.62	$481.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.26 / $47.31 / $95.72	Professional	26	$18.26	$47.31	$95.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.67 / $87.75 / $365.64	Professional	TC	$54.67	$87.75	$365.64