Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $45.71 / $169.82	Facility	26	$26.92	$45.71	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $407.38	Professional		$70.79	$128.82	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $57.54 / $128.82	Professional	26	$26.92	$57.54	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $57.54 / $128.82	Professional	TC	$40.74	$57.54	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $120.23	Professional		$56.23	$64.57	$120.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.20 / $70.79	Professional	26	$23.44	$30.20	$70.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $46.77 / $87.10	Professional	TC	$34.67	$46.77	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $169.82	Professional		$52.48	$93.33	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $45.71 / $74.13	Professional	26	$30.20	$45.71	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $72.44 / $112.20	Professional	TC	$44.67	$72.44	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $35.48 / $50.12	Facility	26	$7.59	$35.48	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $162.18	Professional		$70.79	$97.72	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $39.81 / $66.07	Professional	26	$26.92	$39.81	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $61.66 / $104.71	Professional	TC	$41.69	$61.66	$104.71
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	26	$194.98	$194.98	$194.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $676.08	Professional		$524.81	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $245.47 / $245.47	Professional	26	$194.98	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $426.58 / $426.58	Professional	TC	$331.13	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $154.88	Professional		$75.86	$93.33	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $37.15 / $60.26	Professional	26	$29.51	$37.15	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $57.54 / $93.33	Professional	TC	$45.71	$57.54	$93.33