Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.82 / $45.44 / $50.17	Facility	26	$26.82	$45.44	$50.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $93.45 / $356.81	Professional		$68.41	$93.45	$356.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.83 / $35.27 / $119.09	Professional	26	$26.83	$35.27	$119.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.58 / $54.95 / $86.65	Professional	TC	$41.58	$54.95	$86.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $78.06 / $136.40	Professional		$57.49	$78.06	$136.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.81 / $31.79 / $58.27	Professional	26	$22.81	$31.79	$58.27
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.69 / $49.76 / $74.70	Professional	TC	$34.69	$49.76	$74.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $110.28 / $169.49	Professional		$61.07	$110.28	$169.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.52 / $42.31 / $65.59	Professional	26	$26.52	$42.31	$65.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.03 / $69.98 / $109.45	Professional	TC	$41.03	$69.98	$109.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.11 / $35.11 / $35.11	Facility	26	$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $100.33 / $164.93	Professional		$68.33	$100.33	$164.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.98 / $39.97 / $66.34	Professional	26	$26.98	$39.97	$66.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.75 / $62.23 / $105.35	Professional	TC	$40.75	$62.23	$105.35
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $151.29 / $151.29	Facility	26	$85.90	$151.29	$151.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.64 / $524.64 / $673.35	Professional		$524.64	$524.64	$673.35
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $195.35 / $195.35 / $247.88	Professional	26	$195.35	$195.35	$247.88
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $329.23 / $329.23 / $425.48	Professional	TC	$329.23	$329.23	$425.48
United Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $94.30 / $157.05	Professional		$76.98	$94.30	$157.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.88 / $37.14 / $63.32	Professional	26	$29.88	$37.14	$63.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.80 / $56.70 / $98.21	Professional	TC	$46.80	$56.70	$98.21