Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.85 / $59.16 / $76.39	Facility	26	$40.85	$59.16	$76.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $154.33 / $282.18	Professional		$131.44	$154.33	$282.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.85 / $44.82 / $100.83	Professional	26	$40.85	$44.82	$100.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.59 / $106.21 / $164.31	Professional	TC	$90.59	$106.21	$164.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $231.58 / $338.83	Professional		$112.28	$231.58	$338.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $47.83 / $108.15	Professional	26	$34.79	$47.83	$108.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $145.29 / $145.29 / $145.29	Professional	TC	$145.29	$145.29	$145.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $224.73 / $365.99	Professional		$128.41	$224.73	$365.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.29 / $70.65 / $112.24	Professional	26	$44.29	$70.65	$112.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.42 / $158.02 / $254.02	Professional	TC	$98.42	$158.02	$254.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $59.03	Facility	26	$54.02	$54.02	$59.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $214.63 / $347.07	Professional		$136.16	$214.63	$347.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.95 / $65.78 / $107.12	Professional	26	$40.95	$65.78	$107.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.00 / $148.90 / $243.07	Professional	TC	$95.00	$148.90	$243.07
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $111.37 / $230.38 / $230.38	Facility	26	$111.37	$230.38	$230.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.30 / $1,024.30 / $1,326.30	Professional		$1,024.30	$1,024.30	$1,326.30
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $300.10 / $300.10 / $376.28	Professional	26	$300.10	$300.10	$376.28
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $724.19 / $724.19 / $950.03	Professional	TC	$724.19	$724.19	$950.03
United Facility/Professional Professional Modifier Low / Median / High Price $156.33 / $200.33 / $326.39	Professional		$156.33	$200.33	$326.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.15 / $58.79 / $100.24	Professional	26	$47.15	$58.79	$100.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.98 / $141.36 / $227.34	Professional	TC	$107.98	$141.36	$227.34