Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.94 / $50.17 / $57.88	Facility	26	$30.94	$50.17	$57.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $106.41 / $409.00	Professional		$78.20	$106.41	$409.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.94 / $36.94 / $123.36	Professional	26	$30.94	$36.94	$123.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.27 / $56.82 / $97.66	Professional	TC	$47.27	$56.82	$97.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $85.86 / $140.88	Professional		$63.98	$85.86	$140.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.32 / $35.99 / $67.39	Professional	26	$26.32	$35.99	$67.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.09 / $52.13 / $81.14	Professional	TC	$39.09	$52.13	$81.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $126.74 / $192.16	Professional		$72.81	$126.74	$192.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.69 / $49.70 / $77.53	Professional	26	$30.69	$49.70	$77.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.74 / $78.48 / $123.67	Professional	TC	$46.74	$78.48	$123.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $113.14 / $188.30	Professional		$77.92	$113.14	$188.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.14 / $45.56 / $75.23	Professional	26	$31.14	$45.56	$75.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.06 / $66.98 / $115.47	Professional	TC	$46.06	$66.98	$115.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $84.15 / $174.61 / $174.61	Facility	26	$84.15	$174.61	$174.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $600.27 / $600.27 / $764.25	Professional		$600.27	$600.27	$764.25
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $233.19 / $240.89 / $285.00	Professional	26	$233.19	$240.89	$285.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $372.64 / $372.64 / $479.25	Professional	TC	$372.64	$372.64	$479.25
United Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $107.56 / $204.36	Professional		$89.37	$107.56	$204.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.43 / $44.02 / $79.58	Professional	26	$34.43	$44.02	$79.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.27 / $63.54 / $111.59	Professional	TC	$53.27	$63.54	$111.59