Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.89 / $35.83 / $44.67	Facility	26	$23.89	$35.83	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $68.01 / $152.05	Professional		$47.87	$68.01	$152.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.89 / $26.83 / $68.00	Professional	26	$23.89	$26.83	$68.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.98 / $34.10 / $90.38	Professional	TC	$23.98	$34.10	$90.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $46.10 / $79.22	Professional		$43.40	$46.10	$79.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $29.44 / $50.38	Professional	26	$20.30	$29.44	$50.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $49.47 / $49.47 / $49.47	Professional	TC	$49.47	$49.47	$49.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $86.52 / $156.40	Professional		$42.19	$86.52	$156.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.57 / $39.15 / $58.22	Professional	26	$23.57	$39.15	$58.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.10 / $44.37 / $111.65	Professional	TC	$24.10	$44.37	$111.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.27 / $31.27 / $31.27	Facility	26	$31.27	$31.27	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $84.26 / $165.68	Professional		$49.56	$84.26	$165.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.87 / $35.36 / $58.28	Professional	26	$23.87	$35.36	$58.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.20 / $42.41 / $97.13	Professional	TC	$26.20	$42.41	$97.13
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $134.57 / $134.57	Facility	26	$85.90	$134.57	$134.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $505.35 / $562.97 / $562.97	Professional		$505.35	$562.97	$562.97
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $186.58 / $186.58 / $221.33	Professional	26	$186.58	$186.58	$221.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $342.11 / $399.92 / $399.92	Professional	TC	$342.11	$399.92	$399.92
United Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $83.00 / $140.90	Professional		$54.24	$83.00	$140.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.63 / $33.94 / $56.29	Professional	26	$26.63	$33.94	$56.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.05 / $35.83 / $86.03	Professional	TC	$27.05	$35.83	$86.03