Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $45.71 / $194.98	Facility	26	$30.90	$45.71	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $407.38	Professional		$104.71	$151.36	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $52.48 / $107.15	Professional	26	$30.90	$52.48	$107.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.92 / $54.95 / $199.53	Professional	52	$26.92	$54.95	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $102.33 / $213.80	Professional	TC	$75.86	$102.33	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $190.55	Professional		$79.43	$109.65	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $36.31 / $60.26	Professional	26	$26.92	$36.31	$60.26
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $27.54 / $32.36 / $48.98	Professional	52	$27.54	$32.36	$48.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $97.72 / $138.04	Professional	TC	$64.57	$97.72	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $269.15	Professional		$91.20	$141.25	$269.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $53.70 / $87.10	Professional	26	$35.48	$53.70	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $131.83 / $213.80	Professional	TC	$85.11	$131.83	$213.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $275.42	Professional		$114.82	$162.18	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $48.98 / $81.28	Professional	26	$31.62	$48.98	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $117.49 / $194.98	Professional	TC	$81.28	$117.49	$194.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	26	$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,071.52	Professional		$831.76	$1,071.52	$1,071.52
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $288.40 / $288.40	Professional	26	$229.09	$288.40	$288.40
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $776.25 / $776.25	Professional	TC	$602.56	$776.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $257.04	Professional		$125.89	$158.49	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $44.67 / $74.13	Professional	26	$35.48	$44.67	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $112.20 / $181.97	Professional	TC	$89.13	$112.20	$181.97