Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.46 / $106.09 / $142.10	Professional		$99.46	$106.09	$142.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.26 / $28.01 / $112.42	Professional	26	$26.26	$28.01	$112.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.19 / $78.06 / $110.26	Professional	TC	$73.19	$78.06	$110.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $69.92 / $89.87	Professional		$62.28	$69.92	$89.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.30 / $76.30 / $76.30	Professional	26	$76.30	$76.30	$76.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $143.58 / $214.17	Professional		$88.63	$143.58	$214.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.25 / $55.11 / $72.56	Professional	26	$31.25	$55.11	$72.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.87 / $82.77 / $157.61	Professional	TC	$51.87	$82.77	$157.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.85 / $21.20 / $63.39	Facility	26	$19.85	$21.20	$63.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $80.05 / $214.00	Professional		$44.00	$80.05	$214.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $27.83 / $75.59	Professional	26	$16.73	$27.83	$75.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $51.48 / $160.86	Professional	TC	$24.90	$51.48	$160.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $83.23 / $173.52 / $173.52	Facility	26	$83.23	$173.52	$173.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $973.09 / $973.09 / $1,210.28	Professional		$973.09	$973.09	$1,210.28
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $236.03 / $237.42 / $277.27	Professional	26	$236.03	$237.42	$277.27
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $750.23 / $750.23 / $933.00	Professional	TC	$750.23	$750.23	$933.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $88.63 / $218.81	Professional		$58.60	$88.63	$218.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $36.84 / $73.62	Professional	26	$21.77	$36.84	$73.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.49 / $51.87 / $118.23	Professional	TC	$33.49	$51.87	$118.23