Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.30 / $45.91 / $52.94	Facility	26	$28.30	$45.91	$52.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $134.03 / $390.40	Professional		$100.22	$134.03	$390.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.31 / $36.94 / $120.54	Professional	26	$28.31	$36.94	$120.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $47.81 / $53.19 / $90.14	Professional	52	$47.81	$53.19	$90.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.90 / $87.57 / $156.29	Professional	TC	$71.90	$87.57	$156.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $125.56 / $189.80	Professional		$81.13	$125.56	$189.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.31 / $33.21 / $61.43	Professional	26	$24.31	$33.21	$61.43
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $21.90 / $21.90 / $44.82	Professional	52	$21.90	$21.90	$44.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $58.94 / $99.47 / $143.46	Professional	TC	$58.94	$99.47	$143.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.05 / $237.84	Professional		$83.18	$144.05	$237.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $45.64 / $74.68	Professional	26	$28.25	$45.64	$74.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.91 / $104.41 / $164.64	Professional	TC	$56.91	$104.41	$164.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.42 / $37.42 / $37.42	Facility	26	$37.42	$37.42	$37.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $132.43 / $232.10	Professional		$96.13	$132.43	$232.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.74 / $42.56 / $71.28	Professional	26	$28.74	$42.56	$71.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.97 / $92.54 / $163.35	Professional	TC	$65.97	$92.54	$163.35
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $161.36 / $161.36	Facility	26	$100.00	$161.36	$161.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $778.42 / $778.42 / $987.60	Professional		$778.42	$778.42	$987.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $290.60 / $290.60 / $290.60	Professional	26	$290.60	$290.60	$290.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $570.15 / $570.15 / $723.68	Professional	TC	$570.15	$570.15	$723.68
United Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $126.58 / $236.73	Professional		$100.18	$126.58	$236.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.84 / $39.29 / $67.52	Professional	26	$31.84	$39.29	$67.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.90 / $89.86 / $169.42	Professional	TC	$60.90	$89.86	$169.42