Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.71 / $32.88 / $42.47	Facility	26	$22.71	$32.88	$42.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $94.08 / $191.93	Professional		$86.06	$94.08	$191.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $25.78 / $50.30	Professional	26	$22.71	$25.78	$50.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $69.73 / $118.45	Professional	TC	$61.40	$69.73	$118.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $113.72 / $192.01	Professional		$79.23	$113.72	$192.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.08 / $48.78	Professional	26	$19.05	$21.08	$48.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $125.10 / $190.86	Professional		$75.73	$125.10	$190.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.57 / $36.97 / $57.79	Professional	26	$22.57	$36.97	$57.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.36 / $90.47 / $141.63	Professional	TC	$56.36	$90.47	$141.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.72 / $29.72 / $29.72	Facility	26	$29.72	$29.72	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $121.10 / $213.96	Professional		$82.73	$121.10	$213.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.34 / $33.84 / $57.36	Professional	26	$22.34	$33.84	$57.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.99 / $88.17 / $157.97	Professional	TC	$59.99	$88.17	$157.97
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $61.02 / $126.11 / $126.11	Facility	26	$61.02	$126.11	$126.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $692.04 / $692.04 / $896.48	Professional		$692.04	$692.04	$896.48
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $165.29 / $165.29 / $207.90	Professional	26	$165.29	$165.29	$207.90
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $526.74 / $526.74 / $688.58	Professional	TC	$526.74	$526.74	$688.58
United Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $121.92 / $212.91	Professional		$95.00	$121.92	$212.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.34 / $32.24 / $53.29	Professional	26	$25.34	$32.24	$53.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.42 / $93.09 / $165.34	Professional	TC	$66.42	$93.09	$165.34