Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.25 / $42.56 / $46.17	Facility	26	$26.25	$42.56	$46.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $115.27 / $453.00	Professional		$84.89	$115.27	$453.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.25 / $33.31 / $115.89	Professional	26	$26.25	$33.31	$115.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.94 / $75.52 / $120.58	Professional	TC	$55.94	$75.52	$120.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $75.00 / $163.77	Professional		$63.75	$75.00	$163.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $27.79 / $55.44	Professional	26	$22.32	$27.79	$55.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $48.28 / $53.86 / $61.14	Professional	TC	$48.28	$53.86	$61.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $124.41 / $201.04	Professional		$60.35	$124.41	$201.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.91 / $42.52 / $64.20	Professional	26	$25.91	$42.52	$64.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.90 / $83.07 / $148.13	Professional	TC	$32.90	$83.07	$148.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $34.36 / $34.36	Facility	26	$34.36	$34.36	$34.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $112.29 / $208.04	Professional		$77.54	$112.29	$208.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.40 / $39.11 / $65.95	Professional	26	$26.40	$39.11	$65.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.65 / $76.66 / $151.84	Professional	TC	$45.65	$76.66	$151.84
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $147.82 / $147.82	Facility	26	$85.90	$147.82	$147.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $654.87 / $654.87 / $836.03	Professional		$654.87	$654.87	$836.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $217.94 / $217.94 / $242.48	Professional	26	$217.94	$217.94	$242.48
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $461.63 / $461.63 / $593.54	Professional	TC	$461.63	$461.63	$593.54
United Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $115.54 / $199.77	Professional		$88.24	$115.54	$199.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.23 / $36.86 / $62.80	Professional	26	$29.23	$36.86	$62.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.54 / $78.89 / $140.11	Professional	TC	$44.54	$78.89	$140.11