Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.67 / $50.07 / $257.04	Facility	26	$47.67	$50.07	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.36 / $99.98 / $147.91	Professional		$80.36	$99.98	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $50.08 / $79.50	Professional	26	$40.96	$50.08	$79.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.00 / $47.58 / $65.03	Professional	TC	$38.00	$47.58	$65.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $154.91 / $154.91	Professional		$154.91	$154.91	$154.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.05 / $47.43 / $84.87	Professional	26	$46.05	$47.43	$84.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $124.19 / $182.40	Professional		$39.01	$124.19	$182.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.33 / $64.18 / $109.68	Professional	26	$43.33	$64.18	$109.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.32 / $63.11 / $95.97	Professional	TC	$37.32	$63.11	$95.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.33 / $78.33 / $78.33	Facility	26	$78.33	$78.33	$78.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $145.36 / $294.22	Professional		$87.60	$145.36	$294.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.27 / $73.51 / $112.90	Professional	26	$47.27	$73.51	$112.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.85 / $71.72 / $174.28	Professional	TC	$39.85	$71.72	$174.28
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $117.07 / $262.14 / $262.14	Facility	26	$117.07	$262.14	$262.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.00 / $1,173.03 / $1,173.03	Professional		$1,141.00	$1,173.03	$1,173.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $493.68 / $493.68 / $493.68	Professional	26	$493.68	$493.68	$493.68
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $900.73 / $927.75 / $927.75	Professional	TC	$900.73	$927.75	$927.75
United Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $127.44 / $239.12	Professional		$89.45	$127.44	$239.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.09 / $56.06 / $108.12	Professional	26	$48.09	$56.06	$108.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.95 / $65.69 / $153.93	Professional	TC	$39.95	$65.69	$153.93