Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $40.90 / $59.99	Professional		$38.34	$40.90	$59.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.34 / $26.51 / $93.42	Professional	26	$22.34	$26.51	$93.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $17.07 / $25.04	Professional	TC	$16.00	$17.07	$25.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $24.64 / $32.56	Professional		$24.64	$24.64	$32.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.83 / $13.83 / $13.95	Professional	26	$13.83	$13.83	$13.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $59.82 / $86.97	Professional		$43.45	$59.82	$86.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.67 / $40.50 / $57.35	Professional	26	$26.67	$40.50	$57.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.79 / $18.60 / $34.47	Professional	TC	$11.79	$18.60	$34.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $19.32 / $84.92	Facility		$18.09	$19.32	$84.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.70 / $14.64 / $45.70	Facility	26	$13.70	$14.64	$45.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $38.82 / $88.40	Professional		$23.93	$38.82	$88.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $26.02 / $59.58	Professional	26	$14.09	$26.02	$59.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.44 / $11.13 / $35.94	Professional	TC	$8.44	$11.13	$35.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.05 / $248.27 / $285.52	Facility		$117.05	$248.27	$285.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.13 / $134.74 / $148.72	Facility	26	$70.13	$134.74	$148.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $342.09 / $342.09 / $451.80	Professional		$342.09	$342.09	$451.80
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $250.96 / $250.96 / $250.96	Professional	26	$250.96	$250.96	$250.96
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $250.96 / $250.96 / $250.96	Professional	TC	$250.96	$250.96	$250.96
United Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $39.04 / $104.84	Professional		$24.54	$39.04	$104.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $28.59 / $59.16	Professional	26	$17.47	$28.59	$59.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.07 / $12.71 / $30.03	Professional	TC	$7.07	$12.71	$30.03