Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.67 / $65.93 / $76.05	Facility	26	$40.67	$65.93	$76.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $129.90 / $345.50	Professional		$99.04	$129.90	$345.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.67 / $47.68 / $172.85	Professional	26	$40.67	$47.68	$172.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.37 / $74.87 / $119.75	Professional	TC	$58.37	$74.87	$119.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $109.11 / $197.66	Professional		$83.13	$109.11	$197.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.76 / $50.40 / $89.15	Professional	26	$34.76	$50.40	$89.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $48.37 / $81.62 / $104.17	Professional	TC	$48.37	$81.62	$104.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $159.66 / $242.22	Professional		$89.99	$159.66	$242.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.76 / $65.56 / $99.35	Professional	26	$40.76	$65.56	$99.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.60 / $96.37 / $145.61	Professional	TC	$57.60	$96.37	$145.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.62 / $53.62 / $53.62	Facility	26	$53.62	$53.62	$53.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $143.66 / $243.46	Professional		$97.66	$143.66	$243.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $60.04 / $99.93	Professional	26	$40.90	$60.04	$99.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.07 / $84.73 / $144.85	Professional	TC	$57.07	$84.73	$144.85
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $111.13 / $230.61 / $230.61	Facility	26	$111.13	$230.61	$230.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $757.96 / $757.96 / $968.93	Professional		$757.96	$757.96	$968.93
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $312.14 / $322.45 / $376.50	Professional	26	$312.14	$322.45	$376.50
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $470.82 / $484.95 / $592.35	Professional	TC	$470.82	$484.95	$592.35
United Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $137.41 / $231.33	Professional		$112.06	$137.41	$231.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.80 / $57.24 / $102.36	Professional	26	$45.80	$57.24	$102.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.38 / $79.08 / $138.75	Professional	TC	$65.38	$79.08	$138.75