Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.64 / $37.85 / $44.23	Facility	26	$23.64	$37.85	$44.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $69.92 / $147.10	Professional		$51.44	$69.92	$147.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $26.79 / $88.24	Professional	26	$23.46	$26.79	$88.24
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.69 / $28.77 / $84.77	Professional	52	$25.69	$28.77	$84.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.56 / $36.04 / $69.59	Professional	TC	$26.56	$36.04	$69.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $57.16 / $89.53	Professional		$35.33	$57.16	$89.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $26.63 / $86.66	Professional	26	$10.76	$26.63	$86.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $99.05 / $156.40	Professional		$55.81	$99.05	$156.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $36.33 / $57.64	Professional	26	$22.92	$36.33	$57.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.15 / $64.22 / $104.29	Professional	TC	$35.15	$64.22	$104.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.97 / $30.97 / $30.97	Facility	26	$30.97	$30.97	$30.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $87.69 / $154.16	Professional		$50.96	$87.69	$154.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.00 / $33.86 / $57.49	Professional	26	$23.00	$33.86	$57.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $56.52 / $91.64	Professional	TC	$26.32	$56.52	$91.64
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $73.63 / $132.47 / $132.47	Facility	26	$73.63	$132.47	$132.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $447.95 / $456.91 / $482.48	Professional		$447.95	$456.91	$482.48
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $265.83 / $265.83 / $265.83	Professional	26	$265.83	$265.83	$265.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $398.99 / $406.97 / $406.97	Professional	TC	$398.99	$406.97	$406.97
United Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $88.58 / $146.13	Professional		$72.43	$88.58	$146.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.33 / $32.79 / $57.04	Professional	26	$26.33	$32.79	$57.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.50 / $56.07 / $90.83	Professional	TC	$45.50	$56.07	$90.83