Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $234.42	Facility	26	$34.67	$34.67	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $489.78	Professional		$91.20	$177.83	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $72.44 / $218.78	Professional	26	$34.67	$72.44	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $74.13 / $190.55	Professional	TC	$54.95	$74.13	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $151.36	Professional		$75.86	$89.13	$151.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $38.02 / $66.07	Professional	26	$30.90	$38.02	$66.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $60.26 / $91.20	Professional	TC	$47.86	$60.26	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $125.89 / $223.87	Professional		$66.07	$125.89	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $58.88 / $95.50	Professional	26	$38.90	$58.88	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $97.72 / $154.88	Professional	TC	$64.57	$97.72	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $45.71 / $66.07	Facility	26	$9.77	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $213.80	Professional		$87.10	$120.23	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $51.29 / $85.11	Professional	26	$36.31	$51.29	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $72.44 / $134.90	Professional	TC	$47.86	$72.44	$134.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $912.01	Professional		$707.95	$912.01	$912.01
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $257.04 / $323.59 / $323.59	Professional	26	$257.04	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $575.44 / $575.44	Professional	TC	$446.68	$575.44	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $204.17	Professional		$93.33	$120.23	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $79.43	Professional	26	$38.02	$48.98	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $74.13 / $125.89	Professional	TC	$52.48	$74.13	$125.89