Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.56 / $56.03 / $217.82	Facility	26	$34.56	$56.03	$217.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $257.24 / $449.06	Professional		$229.62	$257.24	$449.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.56 / $38.24 / $72.28	Professional	26	$34.56	$38.24	$72.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $196.13 / $218.37 / $364.47	Professional	TC	$196.13	$218.37	$364.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.54 / $36.79 / $74.41	Professional	26	$29.54	$36.79	$74.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.32 / $307.35 / $565.84	Professional		$191.32	$307.35	$565.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $61.97 / $95.88	Professional	26	$40.47	$61.97	$95.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $215.65 / $299.94 / $500.13	Professional	TC	$215.65	$299.94	$500.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.59 / $385.57 / $639.41	Professional		$207.59	$385.57	$639.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.27 / $63.23 / $99.11	Professional	26	$35.27	$63.23	$99.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $179.14 / $325.93 / $546.30	Professional	TC	$179.14	$325.93	$546.30
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $94.73 / $203.00 / $225.00	Facility	26	$94.73	$203.00	$225.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,813.42 / $1,813.42 / $2,228.78	Professional		$1,813.42	$1,813.42	$2,228.78
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $328.57 / $328.57 / $328.57	Professional	26	$328.57	$328.57	$328.57
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,562.23 / $1,562.23 / $1,908.45	Professional	TC	$1,562.23	$1,562.23	$1,908.45
United Facility/Professional Professional Modifier Low / Median / High Price $204.06 / $332.87 / $633.40	Professional		$204.06	$332.87	$633.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.23 / $50.00 / $106.88	Professional	26	$41.23	$50.00	$106.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.16 / $287.02 / $582.11	Professional	TC	$195.16	$287.02	$582.11