Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $80.48 / $109.55	Professional		$75.45	$80.48	$109.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.17 / $25.12 / $369.50	Professional	26	$21.17	$25.12	$369.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.29 / $57.90 / $83.82	Professional	TC	$54.29	$57.90	$83.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $53.44 / $68.31	Professional		$47.68	$53.44	$68.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.91 / $49.91 / $49.91	Professional	26	$49.91	$49.91	$49.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $104.56 / $162.49	Professional		$66.86	$104.56	$162.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.74 / $41.45 / $66.47	Professional	26	$24.74	$41.45	$66.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $61.98 / $116.01	Professional	TC	$39.72	$61.98	$116.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.39 / $63.39 / $63.39	Facility	26	$63.39	$63.39	$63.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $64.09 / $163.56	Professional		$34.21	$64.09	$163.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.72 / $21.93 / $56.51	Professional	26	$13.72	$21.93	$56.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.37 / $42.87 / $121.57	Professional	TC	$20.37	$42.87	$121.57
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $66.98 / $127.16 / $139.56	Facility	26	$66.98	$127.16	$139.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $750.04 / $750.04 / $924.23	Professional		$750.04	$750.04	$924.23
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $179.95 / $179.95 / $224.33	Professional	26	$179.95	$179.95	$224.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $570.15 / $570.15 / $699.90	Professional	TC	$570.15	$570.15	$699.90
United Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $65.42 / $205.54	Professional		$40.15	$65.42	$205.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.76 / $24.52 / $52.49	Professional	26	$15.76	$24.52	$52.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.37 / $38.83 / $86.55	Professional	TC	$22.37	$38.83	$86.55