Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.71 / $32.88 / $139.22	Facility	26	$22.71	$32.88	$139.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $87.19 / $146.69	Professional		$79.45	$87.19	$146.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.22 / $24.11 / $54.21	Professional	26	$22.22	$24.11	$54.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.74 / $63.26 / $94.38	Professional	TC	$56.74	$63.26	$94.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.32 / $30.14 / $60.13	Professional	26	$21.32	$30.14	$60.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $125.09 / $196.49	Professional		$72.77	$125.09	$196.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.77 / $38.17 / $62.06	Professional	26	$23.77	$38.17	$62.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.36 / $90.25 / $150.57	Professional	TC	$53.36	$90.25	$150.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.07 / $30.07 / $31.83	Facility	26	$30.07	$30.07	$31.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.03 / $118.31 / $208.09	Professional		$81.03	$118.31	$208.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $36.56 / $59.52	Professional	26	$22.86	$36.56	$59.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.36 / $82.77 / $150.56	Professional	TC	$57.36	$82.77	$150.56
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $127.92 / $127.92	Facility	26	$80.00	$127.92	$127.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $642.13 / $642.13 / $832.58	Professional		$642.13	$642.13	$832.58
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $167.46 / $167.46 / $210.75	Professional	26	$167.46	$167.46	$210.75
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $474.67 / $474.67 / $621.90	Professional	TC	$474.67	$474.67	$621.90
United Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $105.89 / $183.47	Professional		$87.37	$105.89	$183.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $32.64 / $56.96	Professional	26	$26.21	$32.64	$56.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.00 / $73.50 / $129.80	Professional	TC	$60.00	$73.50	$129.80