Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.98 / $32.40 / $195.51	Facility	26	$30.98	$32.40	$195.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $137.34 / $222.54	Professional		$122.45	$137.34	$222.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.56 / $34.47 / $104.25	Professional	26	$29.56	$34.47	$104.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.86 / $104.34 / $158.66	Professional	TC	$93.86	$104.34	$158.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.75 / $56.68 / $64.52	Professional	26	$27.75	$56.68	$64.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.79 / $187.20 / $302.30	Professional		$113.79	$187.20	$302.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.88 / $50.58 / $77.20	Professional	26	$30.88	$50.58	$77.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.02 / $139.03 / $227.08	Professional	TC	$93.02	$139.03	$227.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.92 / $40.92 / $40.92	Facility	26	$40.92	$40.92	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $169.24 / $293.55	Professional		$120.38	$169.24	$293.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.17 / $45.68 / $77.56	Professional	26	$31.17	$45.68	$77.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.54 / $124.57 / $217.61	Professional	TC	$88.54	$124.57	$217.61
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $84.74 / $175.47 / $175.47	Facility	26	$84.74	$175.47	$175.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $968.58 / $968.58 / $1,227.45	Professional		$968.58	$968.58	$1,227.45
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $227.63 / $227.63 / $288.83	Professional	26	$227.63	$227.63	$288.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $740.95 / $740.95 / $938.70	Professional	TC	$740.95	$740.95	$938.70
United Facility/Professional Professional Modifier Low / Median / High Price $133.04 / $173.53 / $291.63	Professional		$133.04	$173.53	$291.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.82 / $41.63 / $74.51	Professional	26	$34.82	$41.63	$74.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.66 / $119.82 / $214.80	Professional	TC	$92.66	$119.82	$214.80