Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.03 / $47.85 / $61.78	Facility	26	$33.03	$47.85	$61.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $121.54 / $215.00	Professional		$103.86	$121.54	$215.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.04 / $36.00 / $61.78	Professional	26	$33.04	$36.00	$61.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.81 / $83.04 / $128.88	Professional	TC	$70.81	$83.04	$128.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $122.44 / $269.02	Professional		$89.04	$122.44	$269.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $38.84 / $87.98	Professional	26	$28.25	$38.84	$87.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $114.00 / $114.00 / $114.00	Professional	TC	$114.00	$114.00	$114.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $177.32 / $290.33	Professional		$101.47	$177.32	$290.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.61 / $56.66 / $90.39	Professional	26	$35.61	$56.66	$90.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.00 / $123.49 / $197.22	Professional	TC	$77.00	$123.49	$197.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.97 / $43.97 / $47.86	Facility	26	$43.97	$43.97	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $169.98 / $274.47	Professional		$107.33	$169.98	$274.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.24 / $53.23 / $87.21	Professional	26	$33.24	$53.23	$87.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.54 / $116.83 / $189.88	Professional	TC	$74.54	$116.83	$189.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $187.10 / $187.10	Facility	26	$90.38	$187.10	$187.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $810.58 / $810.58 / $1,053.68	Professional		$810.58	$810.58	$1,053.68
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $242.65 / $242.65 / $307.35	Professional	26	$242.65	$242.65	$307.35
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $567.92 / $567.92 / $746.33	Professional	TC	$567.92	$567.92	$746.33
United Facility/Professional Professional Modifier Low / Median / High Price $123.55 / $153.93 / $262.20	Professional		$123.55	$153.93	$262.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.51 / $50.28 / $85.66	Professional	26	$38.51	$50.28	$85.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.96 / $106.20 / $185.91	Professional	TC	$84.96	$106.20	$185.91