Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $50.68 / $134.93	Professional		$46.43	$50.68	$134.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.92 / $21.25 / $53.88	Professional	26	$19.92	$21.25	$53.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.51 / $30.40 / $81.04	Professional	TC	$26.51	$30.40	$81.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $85.93	Professional		$35.54	$35.54	$85.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.26 / $15.26 / $31.57	Professional	26	$15.26	$15.26	$31.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $83.48 / $135.66	Professional		$57.88	$83.48	$135.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.66 / $37.65 / $54.14	Professional	26	$24.66	$37.65	$54.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.04 / $48.06 / $84.02	Professional	TC	$33.04	$48.06	$84.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.00 / $13.89 / $46.58	Facility	26	$13.00	$13.89	$46.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $46.55 / $120.74	Professional		$32.02	$46.55	$120.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $21.12 / $54.41	Professional	26	$12.84	$21.12	$54.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $23.38 / $64.77	Professional	TC	$18.05	$23.38	$64.77
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $64.34 / $122.62 / $134.76	Facility	26	$64.34	$122.62	$134.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $424.65 / $424.65 / $668.70	Professional		$424.65	$424.65	$668.70
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $214.00 / $214.00 / $216.60	Professional	26	$214.00	$214.00	$216.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $272.93 / $272.93 / $452.18	Professional	TC	$272.93	$272.93	$452.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $62.44 / $130.96	Professional		$38.57	$62.44	$130.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $26.76 / $53.93	Professional	26	$16.48	$26.76	$53.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.67 / $35.51 / $72.50	Professional	TC	$21.67	$35.51	$72.50