Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $57.57 / $63.63	Facility	26	$55.00	$57.57	$63.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $275.00 / $325.00	Professional		$87.16	$275.00	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $55.00 / $98.00	Professional	26	$11.98	$55.00	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.06 / $220.00 / $227.00	Professional	TC	$75.06	$220.00	$227.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $9.52 / $10.82	Professional	26	$9.52	$9.52	$10.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $170.56 / $251.06	Professional		$92.82	$170.56	$251.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $17.41 / $28.35	Professional	26	$11.08	$17.41	$28.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.85 / $155.13 / $224.61	Professional	TC	$86.85	$155.13	$224.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.12 / $12.12 / $13.50	Facility	26	$12.12	$12.12	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.47 / $159.53 / $280.14	Professional		$86.47	$159.53	$280.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $17.13 / $27.20	Professional	26	$10.07	$17.13	$27.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.55 / $141.19 / $237.97	Professional	TC	$75.55	$141.19	$237.97
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $107.60 / $107.60 / $110.80	Facility	26	$107.60	$107.60	$110.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $876.62 / $902.92 / $902.92	Professional		$876.62	$902.92	$902.92
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $270.04 / $270.04 / $270.04	Professional	26	$270.04	$270.04	$270.04
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $820.61 / $845.22 / $845.22	Professional	TC	$820.61	$845.22	$845.22
United Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $139.44 / $228.67	Professional		$104.89	$139.44	$228.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.62 / $14.55 / $25.52	Professional	26	$11.62	$14.55	$25.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.22 / $124.99 / $207.16	Professional	TC	$93.22	$124.99	$207.16