Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.07 / $35.07 / $222.34	Facility	26	$35.07	$35.07	$222.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $108.27 / $353.32	Professional		$92.35	$108.27	$353.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.07 / $40.77 / $157.59	Professional	26	$35.07	$40.77	$157.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.49 / $63.72 / $103.95	Professional	TC	$56.49	$63.72	$103.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $120.35 / $183.70	Professional		$76.48	$120.35	$183.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.93 / $43.40 / $76.52	Professional	26	$29.93	$43.40	$76.52
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $47.44 / $52.42 / $98.47	Professional	TC	$47.44	$52.42	$98.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $142.44 / $225.04	Professional		$85.98	$142.44	$225.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.65 / $56.65 / $89.15	Professional	26	$35.65	$56.65	$89.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.53 / $88.85 / $141.91	Professional	TC	$56.53	$88.85	$141.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.25 / $46.25 / $46.25	Facility	26	$46.25	$46.25	$46.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $125.23 / $215.37	Professional		$88.31	$125.23	$215.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $51.74 / $86.78	Professional	26	$34.65	$51.74	$86.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.72 / $75.06 / $134.86	Professional	TC	$49.72	$75.06	$134.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $95.69 / $198.74 / $198.74	Facility	26	$95.69	$198.74	$198.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $708.49 / $708.49 / $902.10	Professional		$708.49	$708.49	$902.10
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $257.68 / $257.68 / $321.00	Professional	26	$257.68	$257.68	$321.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $450.80 / $450.80 / $581.10	Professional	TC	$450.80	$450.80	$581.10
United Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $123.39 / $220.25	Professional		$97.86	$123.39	$220.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.97 / $49.91 / $87.56	Professional	26	$38.97	$49.91	$87.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.18 / $77.13 / $130.00	Professional	TC	$56.18	$77.13	$130.00