Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.73 / $28.69 / $173.46	Facility	26	$27.73	$28.69	$173.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $132.03 / $334.72	Professional		$112.37	$132.03	$334.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.74 / $32.46 / $61.21	Professional	26	$27.74	$32.46	$61.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.73 / $93.19 / $156.85	Professional	TC	$80.73	$93.19	$156.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $144.88 / $221.74	Professional		$130.77	$144.88	$221.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $37.74 / $59.26	Professional	26	$24.70	$37.74	$59.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $166.06 / $280.49	Professional		$79.68	$166.06	$280.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.92 / $46.61 / $68.48	Professional	26	$27.92	$46.61	$68.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.89 / $120.52 / $230.52	Professional	TC	$48.89	$120.52	$230.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.04 / $37.04 / $37.04	Facility	26	$37.04	$37.04	$37.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.69 / $163.86 / $334.64	Professional		$102.69	$163.86	$334.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.88 / $41.87 / $71.33	Professional	26	$27.88	$41.87	$71.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.76 / $127.25 / $276.95	Professional	TC	$68.76	$127.25	$276.95
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $158.46 / $158.46	Facility	26	$100.00	$158.46	$158.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $898.89 / $898.89 / $1,186.05	Professional		$898.89	$898.89	$1,186.05
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $371.50 / $371.50 / $371.50	Professional	26	$371.50	$371.50	$371.50
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $695.99 / $695.99 / $929.03	Professional	TC	$695.99	$695.99	$929.03
United Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $152.82 / $289.17	Professional		$102.08	$152.82	$289.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.86 / $38.00 / $65.20	Professional	26	$30.86	$38.00	$65.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.55 / $118.14 / $251.18	Professional	TC	$62.55	$118.14	$251.18