Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $72.67 / $93.28	Professional		$65.81	$72.67	$93.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.45 / $16.47 / $22.52	Professional	26	$15.45	$16.47	$22.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.36 / $56.20 / $72.98	Professional	TC	$50.36	$56.20	$72.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $53.12 / $53.12	Professional		$53.12	$53.12	$53.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.90 / $39.90 / $39.90	Professional	26	$39.90	$39.90	$39.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $110.53 / $148.56	Professional		$72.73	$110.53	$148.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $30.64 / $42.55	Professional	26	$18.14	$30.64	$42.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.25 / $84.66 / $114.89	Professional	TC	$50.25	$84.66	$114.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.55 / $11.27 / $34.59	Facility	26	$10.55	$11.27	$34.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $61.04 / $162.30	Professional		$37.09	$61.04	$162.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $16.69 / $45.38	Professional	26	$9.52	$16.69	$45.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.51 / $40.51 / $117.71	Professional	TC	$26.51	$40.51	$117.71
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $47.20 / $100.00 / $100.00	Facility	26	$47.20	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $626.79 / $626.79 / $719.55	Professional		$626.79	$626.79	$719.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $171.71 / $171.71 / $171.71	Professional	26	$171.71	$171.71	$171.71
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $496.32 / $496.32 / $565.28	Professional	TC	$496.32	$496.32	$565.28
United Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $73.14 / $159.47	Professional		$44.41	$73.14	$159.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $20.94 / $39.97	Professional	26	$12.96	$20.94	$39.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.50 / $53.66 / $113.96	Professional	TC	$34.50	$53.66	$113.96