Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $81.28 / $309.03	Facility	26	$60.26	$81.28	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $707.95	Professional		$93.33	$151.36	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $102.33 / $851.14	Professional	26	$56.23	$102.33	$851.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $69.18 / $114.82	Professional	TC	$46.77	$69.18	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $190.55	Professional		$83.18	$114.82	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $100.00	Professional	26	$45.71	$60.26	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $239.88	Professional		$61.66	$77.62	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $87.10 / $141.25	Professional	26	$58.88	$87.10	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $104.71 / $158.49	Professional	TC	$63.10	$104.71	$158.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $309.03	Professional		$134.90	$199.53	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $89.13 / $131.83	Professional	26	$61.66	$89.13	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $109.65 / $186.21	Professional	TC	$67.61	$109.65	$186.21
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $724.44 / $724.44 / $851.14	Professional	26	$724.44	$724.44	$851.14
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $741.31 / $741.31 / $741.31	Professional	TC	$741.31	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $251.19	Professional		$120.23	$186.21	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $72.44 / $117.49	Professional	26	$58.88	$72.44	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $100.00 / $134.90	Professional	TC	$63.10	$100.00	$134.90