Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.67 / $68.15 / $235.10	Facility	26	$43.67	$68.15	$235.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $63.86 / $96.92	Professional		$55.20	$63.86	$96.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $45.44 / $61.76	Professional	26	$37.99	$45.44	$61.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $19.54 / $24.21	Professional	TC	$16.35	$19.54	$24.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $50.53 / $50.53	Professional		$50.53	$50.53	$50.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.36 / $42.36 / $64.14	Professional	26	$42.36	$42.36	$64.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $78.08 / $125.89	Professional		$16.70	$78.08	$125.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.58 / $58.32 / $104.11	Professional	26	$39.58	$58.32	$104.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.60 / $24.42 / $41.02	Professional	TC	$15.60	$24.42	$41.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.64 / $71.64 / $71.64	Facility	26	$71.64	$71.64	$71.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $93.59 / $143.25	Professional		$60.59	$93.59	$143.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $67.04 / $102.97	Professional	26	$43.65	$67.04	$102.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $26.27 / $40.28	Professional	TC	$17.18	$26.27	$40.28
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $107.57 / $231.56 / $231.56	Facility	26	$107.57	$231.56	$231.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $404.61 / $404.61 / $541.88	Professional		$404.61	$404.61	$541.88
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $402.86 / $402.86 / $402.86	Professional	26	$402.86	$402.86	$402.86
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $402.86 / $402.86 / $402.86	Professional	TC	$402.86	$402.86	$402.86
United Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $74.69 / $171.70	Professional		$61.09	$74.69	$171.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.55 / $51.23 / $99.40	Professional	26	$42.55	$51.23	$99.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.59 / $20.42 / $46.00	Professional	TC	$17.59	$20.42	$46.00