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 $113.66 / $144.69 / $386.96	Professional		$113.66	$144.69	$386.96
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 $72.98 / $87.95 / $150.71	Professional	TC	$72.98	$87.95	$150.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $103.12 / $216.98	Professional		$92.29	$103.12	$216.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.99 / $48.71 / $89.15	Professional	26	$34.99	$48.71	$89.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $60.33 / $94.56 / $129.94	Professional	TC	$60.33	$94.56	$129.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $183.02 / $277.37	Professional		$103.28	$183.02	$277.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.92 / $65.56 / $102.03	Professional	26	$40.92	$65.56	$102.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.53 / $117.81 / $188.13	Professional	TC	$72.53	$117.81	$188.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.96 / $53.96 / $53.96	Facility	26	$53.96	$53.96	$53.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $161.44 / $270.95	Professional		$113.76	$161.44	$270.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.19 / $61.13 / $100.91	Professional	26	$41.19	$61.13	$100.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.45 / $103.22 / $179.59	Professional	TC	$71.45	$103.22	$179.59
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $111.76 / $232.47 / $232.47	Facility	26	$111.76	$232.47	$232.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $872.98 / $872.98 / $1,120.05	Professional		$872.98	$872.98	$1,120.05
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $298.50 / $298.50 / $379.35	Professional	26	$298.50	$298.50	$379.35
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $574.48 / $574.48 / $740.70	Professional	TC	$574.48	$574.48	$740.70
United Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $154.55 / $264.04	Professional		$128.30	$154.55	$264.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.81 / $57.65 / $97.48	Professional	26	$45.81	$57.65	$97.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.09 / $98.51 / $171.13	Professional	TC	$82.09	$98.51	$171.13