Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.66 / $86.01 / $116.58	Professional		$81.66	$86.01	$116.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.55 / $67.79 / $235.20	Professional	26	$63.55	$67.79	$235.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.10 / $19.30 / $25.26	Professional	TC	$18.10	$19.30	$25.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $63.83 / $73.88	Professional		$56.27	$63.83	$73.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $156.80 / $156.80 / $156.80	Professional	26	$156.80	$156.80	$156.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $175.84 / $252.34	Professional		$101.80	$175.84	$252.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.54 / $116.66 / $158.37	Professional	26	$74.54	$116.66	$158.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $63.14 / $99.60	Professional	TC	$22.57	$63.14	$99.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.36 / $42.06 / $133.12	Facility	26	$39.36	$42.06	$133.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $83.94 / $222.02	Professional		$54.44	$83.94	$222.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.23 / $65.34 / $162.97	Professional	26	$41.23	$65.34	$162.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.12 / $22.76 / $70.56	Professional	TC	$12.12	$22.76	$70.56
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $206.46 / $390.55 / $429.02	Facility	26	$206.46	$390.55	$429.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $745.14 / $745.14 / $943.13	Professional		$745.14	$745.14	$943.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $538.00 / $538.00 / $687.38	Professional	26	$538.00	$538.00	$687.38
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $340.13 / $340.13 / $340.13	Professional	TC	$340.13	$340.13	$340.13
United Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $117.65 / $229.07	Professional		$67.15	$117.65	$229.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.49 / $81.20 / $173.15	Professional	26	$49.49	$81.20	$173.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.29 / $34.71 / $82.24	Professional	TC	$14.29	$34.71	$82.24