Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $52.58 / $70.19	Professional		$49.29	$52.58	$70.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.57 / $19.57 / $24.71	Professional	26	$18.57	$19.57	$24.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.71 / $32.76 / $43.36	Professional	TC	$30.71	$32.76	$43.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Professional		$36.90	$36.90	$36.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $75.27 / $121.93	Professional		$57.58	$75.27	$121.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.28 / $32.76 / $48.30	Professional	26	$22.28	$32.76	$48.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.22 / $38.86 / $72.26	Professional	TC	$30.22	$38.86	$72.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.59 / $12.38 / $28.39	Facility	26	$11.59	$12.38	$28.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $46.49 / $114.62	Professional		$33.01	$46.49	$114.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $19.50 / $52.26	Professional	26	$11.84	$19.50	$52.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $25.50 / $72.67	Professional	TC	$20.39	$25.50	$72.67
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $59.11 / $113.54 / $125.12	Facility	26	$59.11	$113.54	$125.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $453.03 / $453.03 / $698.48	Professional		$453.03	$453.03	$698.48
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $158.49 / $201.08	Professional	26	$158.49	$158.49	$201.08
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $300.38 / $300.38 / $497.40	Professional	TC	$300.38	$300.38	$497.40
United Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $52.05 / $129.33	Professional		$35.15	$52.05	$129.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.72 / $23.92 / $46.40	Professional	26	$14.72	$23.92	$46.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $28.13 / $63.57	Professional	TC	$20.45	$28.13	$63.57