Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.19 / $35.04 / $153.13	Facility	26	$24.19	$35.04	$153.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $100.51 / $182.07	Professional		$86.35	$100.51	$182.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.94 / $27.68 / $44.16	Professional	26	$23.94	$27.68	$44.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.16 / $71.89 / $111.51	Professional	TC	$62.16	$71.89	$111.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $142.29 / $190.30	Professional		$78.70	$142.29	$190.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.02 / $30.48 / $65.43	Professional	26	$21.02	$30.48	$65.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $139.06 / $139.06 / $139.06	Professional	TC	$139.06	$139.06	$139.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $139.21 / $210.43	Professional		$80.01	$139.21	$210.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $40.19 / $63.83	Professional	26	$24.30	$40.19	$63.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.34 / $100.21 / $150.71	Professional	TC	$61.34	$100.21	$150.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.44 / $125.18 / $208.59	Professional		$85.44	$125.18	$208.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.14 / $36.46 / $61.63	Professional	26	$24.14	$36.46	$61.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.37 / $89.56 / $149.26	Professional	TC	$61.37	$89.56	$149.26
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $67.03 / $139.84 / $139.84	Facility	26	$67.03	$139.84	$139.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $674.54 / $674.54 / $888.15	Professional		$674.54	$674.54	$888.15
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $180.38 / $180.38 / $229.58	Professional	26	$180.38	$180.38	$229.58
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $494.15 / $494.15 / $658.65	Professional	TC	$494.15	$494.15	$658.65
United Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $120.06 / $196.02	Professional		$94.29	$120.06	$196.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.29 / $34.36 / $60.64	Professional	26	$27.29	$34.36	$60.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $85.30 / $145.85	Professional	TC	$67.48	$85.30	$145.85