Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.38 / $22.27 / $28.76	Facility	26	$15.38	$22.27	$28.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $103.49 / $160.54	Professional		$82.14	$103.49	$160.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.38 / $18.03 / $64.90	Professional	26	$15.38	$18.03	$64.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.76 / $84.11 / $132.68	Professional	TC	$66.76	$84.11	$132.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $106.31 / $204.70	Professional		$68.04	$106.31	$204.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $22.23 / $41.48	Professional	26	$13.18	$22.23	$41.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $128.79 / $213.30	Professional		$70.01	$128.79	$213.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.79 / $25.96 / $42.68	Professional	26	$15.79	$25.96	$42.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.30 / $104.95 / $179.35	Professional	TC	$59.30	$104.95	$179.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.50 / $20.50 / $21.79	Facility	26	$20.50	$20.50	$21.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $115.14 / $198.31	Professional		$77.52	$115.14	$198.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.60 / $25.31 / $39.74	Professional	26	$15.60	$25.31	$39.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.51 / $90.13 / $165.90	Professional	TC	$61.51	$90.13	$165.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $42.12 / $87.12 / $87.12	Facility	26	$42.12	$87.12	$87.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $664.33 / $664.33 / $819.75	Professional		$664.33	$664.33	$819.75
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $113.72 / $113.72 / $148.19	Professional	26	$113.72	$113.72	$148.19
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $550.61 / $550.61 / $671.63	Professional	TC	$550.61	$550.61	$671.63
United Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $106.30 / $189.39	Professional		$80.70	$106.30	$189.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $21.78 / $36.65	Professional	26	$17.98	$21.78	$36.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.34 / $84.52 / $156.94	Professional	TC	$61.34	$84.52	$156.94