Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.82 / $51.59 / $201.08	Facility	26	$31.82	$51.59	$201.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $91.23 / $233.79	Professional		$70.43	$91.23	$233.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $37.11 / $117.00	Professional	26	$31.83	$37.11	$117.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.60 / $49.35 / $80.27	Professional	TC	$38.60	$49.35	$80.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $80.45 / $140.47	Professional		$61.30	$80.45	$140.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.93 / $40.64 / $69.26	Professional	26	$26.93	$40.64	$69.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.36 / $45.93 / $58.00	Professional	TC	$34.36	$45.93	$58.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $114.51 / $172.79	Professional		$65.14	$114.51	$172.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.56 / $51.97 / $78.44	Professional	26	$32.56	$51.97	$78.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $64.63 / $101.83	Professional	TC	$38.90	$64.63	$101.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $109.42 / $176.40	Professional		$70.95	$109.42	$176.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.71 / $47.84 / $77.67	Professional	26	$31.71	$47.84	$77.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.79 / $62.15 / $101.71	Professional	TC	$39.79	$62.15	$101.71
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $86.18 / $178.60 / $178.60	Facility	26	$86.18	$178.60	$178.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $555.44 / $579.47 / $712.88	Professional		$555.44	$579.47	$712.88
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $269.13 / $269.13 / $288.98	Professional	26	$269.13	$269.13	$288.98
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $351.46 / $351.46 / $423.83	Professional	TC	$351.46	$351.46	$423.83
United Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $97.93 / $164.86	Professional		$79.58	$97.93	$164.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.47 / $44.41 / $76.95	Professional	26	$35.47	$44.41	$76.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.88 / $53.99 / $93.25	Professional	TC	$43.88	$53.99	$93.25