Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $41.20 / $54.98	Professional		$39.09	$41.20	$54.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.89 / $30.72 / $102.82	Professional	26	$25.89	$30.72	$102.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.20 / $14.08 / $18.30	Professional	TC	$13.20	$14.08	$18.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $25.52 / $25.54	Professional		$25.52	$25.52	$25.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.76 / $16.05 / $64.70	Professional	26	$14.76	$16.05	$64.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $68.00 / $101.12	Professional		$45.34	$68.00	$101.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.95 / $41.08 / $67.06	Professional	26	$18.95	$41.08	$67.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.31 / $28.41 / $35.00	Professional	TC	$15.31	$28.41	$35.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.06 / $15.02 / $50.29	Facility	26	$14.06	$15.02	$50.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $40.95 / $95.07	Professional		$25.69	$40.95	$95.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.35 / $28.74 / $65.79	Professional	26	$16.35	$28.74	$65.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.86 / $12.31 / $31.16	Professional	TC	$8.86	$12.31	$31.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $81.38 / $155.94 / $172.05	Facility	26	$81.38	$155.94	$172.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $473.28 / $473.28 / $473.28	Professional		$473.28	$473.28	$473.28
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $346.00 / $346.00 / $346.00	Professional	26	$346.00	$346.00	$346.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $330.22 / $330.22 / $330.22	Professional	TC	$330.22	$330.22	$330.22
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $48.70 / $109.12	Professional		$30.79	$48.70	$109.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.43 / $30.56 / $61.78	Professional	26	$20.43	$30.56	$61.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.37 / $14.97 / $38.15	Professional	TC	$10.37	$14.97	$38.15