Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.07 / $20.76 / $126.58	Facility	26	$20.07	$20.76	$126.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.27 / $205.50 / $357.68	Professional		$191.27	$205.50	$357.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.07 / $21.00 / $37.54	Professional	26	$20.07	$21.00	$37.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.19 / $185.34 / $320.13	Professional	TC	$171.19	$185.34	$320.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.16 / $21.36 / $42.89	Professional	26	$17.16	$21.36	$42.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.32 / $285.91 / $465.32	Professional		$165.32	$285.91	$465.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.74 / $35.14 / $55.72	Professional	26	$23.74	$35.14	$55.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $200.92 / $302.73 / $475.01	Professional	TC	$200.92	$302.73	$475.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.65 / $348.61 / $543.72	Professional		$192.65	$348.61	$543.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.49 / $36.97 / $58.04	Professional	26	$20.49	$36.97	$58.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.16 / $311.64 / $486.41	Professional	TC	$172.16	$311.64	$486.41
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $55.06 / $113.34 / $113.34	Facility	26	$55.06	$113.34	$113.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.76 / $1,459.76 / $1,808.10	Professional		$1,459.76	$1,459.76	$1,808.10
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $147.05 / $147.05 / $185.33	Professional	26	$147.05	$147.05	$185.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,312.71 / $1,312.71 / $1,622.78	Professional	TC	$1,312.71	$1,312.71	$1,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $276.94 / $567.44	Professional		$229.09	$276.94	$567.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.02 / $28.83 / $59.58	Professional	26	$23.02	$28.83	$59.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.07 / $292.44 / $508.09	Professional	TC	$206.07	$292.44	$508.09