Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $72.01 / $132.54	Professional		$67.51	$72.01	$132.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.97 / $53.36 / $144.07	Professional	26	$44.97	$53.36	$144.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.54 / $24.04 / $37.71	Professional	TC	$22.54	$24.04	$37.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.84 / $28.07 / $112.57	Professional	26	$27.84	$28.07	$112.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $122.42 / $186.07	Professional		$76.51	$122.42	$186.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.17 / $82.03 / $117.35	Professional	26	$52.17	$82.03	$117.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.03 / $40.61 / $72.90	Professional	TC	$26.03	$40.61	$72.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.29 / $30.23 / $91.53	Facility	26	$28.29	$30.23	$91.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $67.41 / $171.29	Professional		$42.71	$67.41	$171.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.50 / $52.79 / $120.28	Professional	26	$28.50	$52.79	$120.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.91 / $17.86 / $49.63	Professional	TC	$11.91	$17.86	$49.63
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $141.37 / $270.97 / $298.82	Facility	26	$141.37	$270.97	$298.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $587.10 / $587.10 / $746.40	Professional		$587.10	$587.10	$746.40
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $381.48 / $381.48 / $479.33	Professional	26	$381.48	$381.48	$479.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $205.55 / $205.55 / $267.08	Professional	TC	$205.55	$205.55	$267.08
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $86.59 / $166.48	Professional		$51.95	$86.59	$166.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.74 / $58.56 / $112.55	Professional	26	$35.74	$58.56	$112.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.29 / $26.05 / $58.76	Professional	TC	$14.29	$26.05	$58.76