Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $98.00 / $203.91	Facility	26	$55.00	$98.00	$203.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $135.87 / $328.00	Professional		$73.76	$135.87	$328.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.17 / $55.00 / $98.00	Professional	26	$36.17	$55.00	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.54 / $72.51 / $227.00	Professional	TC	$35.54	$72.51	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $56.76 / $122.25	Professional		$56.76	$56.76	$122.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.73 / $40.21 / $86.35	Professional	26	$27.73	$40.21	$86.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $111.50 / $167.99	Professional		$53.75	$111.50	$167.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $56.39 / $94.76	Professional	26	$35.11	$56.39	$94.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.41 / $53.75 / $86.27	Professional	TC	$27.41	$53.75	$86.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.19 / $43.19 / $46.60	Facility	26	$43.19	$43.19	$46.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $106.43 / $235.65	Professional		$64.54	$106.43	$235.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.77 / $53.66 / $85.33	Professional	26	$32.77	$53.66	$85.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.73 / $55.56 / $155.76	Professional	TC	$30.73	$55.56	$155.76
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $88.63 / $183.92 / $183.92	Facility	26	$88.63	$183.92	$183.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $706.79 / $1,002.61 / $1,002.61	Professional		$706.79	$1,002.61	$1,002.61
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $238.39 / $238.39 / $302.25	Professional	26	$238.39	$238.39	$302.25
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $548.75 / $780.59 / $780.59	Professional	TC	$548.75	$780.59	$780.59
United Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $98.32 / $187.15	Professional		$67.81	$98.32	$187.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.93 / $46.46 / $78.42	Professional	26	$37.93	$46.46	$78.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.99 / $48.02 / $117.33	Professional	TC	$28.99	$48.02	$117.33