Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $97.72 / $380.19	Facility	26	$54.95	$97.72	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $346.74	Professional		$134.90	$186.21	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $223.87	Professional	26	$54.95	$83.18	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $109.65 / $239.88	Professional	TC	$67.61	$109.65	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $281.84 / $281.84	Professional		$125.89	$281.84	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $72.44 / $158.49	Professional	26	$43.65	$72.44	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $144.54 / $288.40	Professional		$64.57	$144.54	$288.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $87.10 / $147.91	Professional	26	$56.23	$87.10	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $107.15 / $173.78	Professional	TC	$61.66	$107.15	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $380.19	Professional		$117.49	$204.17	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $79.43 / $144.54	Professional	26	$53.70	$79.43	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $109.65 / $275.42	Professional	TC	$60.26	$109.65	$275.42
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	26	$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $549.54 / $549.54	Professional	26	$436.52	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional	TC	$1,174.90	$1,174.90	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $331.13	Professional		$134.90	$181.97	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $138.04	Professional	26	$56.23	$75.86	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $245.47	Professional	TC	$67.61	$95.50	$245.47