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 / $49.78	Facility	26	$28.30	$45.91	$49.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $120.64 / $304.02	Professional		$88.85	$120.64	$304.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $33.78 / $120.54	Professional	26	$28.30	$33.78	$120.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.53 / $81.56 / $125.87	Professional	TC	$60.53	$81.56	$125.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $112.05 / $183.64	Professional		$71.94	$112.05	$183.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.96 / $29.95 / $60.17	Professional	26	$23.96	$29.95	$60.17
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.26 / $78.06 / $117.11	Professional	TC	$53.26	$78.06	$117.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $144.22 / $230.74	Professional		$81.58	$144.22	$230.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $45.91 / $69.17	Professional	26	$28.25	$45.91	$69.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.74 / $102.79 / $162.12	Professional	TC	$59.74	$102.79	$162.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.07 / $37.07 / $37.07	Facility	26	$37.07	$37.07	$37.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $126.95 / $220.80	Professional		$86.57	$126.95	$220.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.47 / $42.18 / $70.73	Professional	26	$28.47	$42.18	$70.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.95 / $84.20 / $153.44	Professional	TC	$58.95	$84.20	$153.44
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $98.17 / $159.51 / $171.00	Facility	26	$98.17	$159.51	$171.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $687.27 / $687.27 / $877.28	Professional		$687.27	$687.27	$877.28
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $254.27 / $254.27 / $261.08	Professional	26	$254.27	$254.27	$261.08
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $479.00 / $479.00 / $616.20	Professional	TC	$479.00	$479.00	$616.20
United Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $122.45 / $208.53	Professional		$100.37	$122.45	$208.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.51 / $39.58 / $70.02	Professional	26	$31.51	$39.58	$70.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.03 / $82.19 / $142.80	Professional	TC	$65.03	$82.19	$142.80