Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $77.95 / $129.74	Professional		$73.08	$77.95	$129.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.94 / $60.76 / $573.79	Professional	26	$44.94	$60.76	$573.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.14 / $30.02 / $50.70	Professional	TC	$28.14	$30.02	$50.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $45.59 / $60.52	Professional		$45.59	$45.59	$60.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.91 / $28.30 / $112.16	Professional	26	$27.91	$28.30	$112.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $118.01 / $180.49	Professional		$84.77	$118.01	$180.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.81 / $86.09 / $116.23	Professional	26	$53.81	$86.09	$116.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.26 / $42.09 / $67.77	Professional	TC	$29.26	$42.09	$67.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.24 / $43.00 / $139.63	Facility		$40.24	$43.00	$139.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.95 / $29.86 / $91.98	Facility	26	$27.95	$29.86	$91.98
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $12.30 / $13.14 / $47.65	Facility	TC	$12.30	$13.14	$47.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $73.68 / $171.95	Professional		$45.47	$73.68	$171.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.64 / $47.05 / $120.21	Professional	26	$28.64	$47.05	$120.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.08 / $20.84 / $56.82	Professional	TC	$14.08	$20.84	$56.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.25 / $457.19 / $523.92	Facility		$218.25	$457.19	$523.92
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $141.75 / $272.47 / $300.87	Facility	26	$141.75	$272.47	$300.87
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $77.95 / $184.67 / $223.06	Facility	TC	$77.95	$184.67	$223.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $643.49 / $643.49 / $828.68	Professional		$643.49	$643.49	$828.68
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $383.71 / $383.71 / $482.40	Professional	26	$383.71	$383.71	$482.40
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $350.03 / $350.03 / $350.03	Professional	TC	$350.03	$350.03	$350.03
United Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $88.34 / $186.40	Professional		$56.03	$88.34	$186.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.40 / $56.52 / $110.71	Professional	26	$35.40	$56.52	$110.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $28.16 / $61.32	Professional	TC	$18.03	$28.16	$61.32