Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $101.77 / $281.52	Professional		$85.76	$101.77	$281.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.54 / $36.74 / $200.00	Professional	26	$30.54	$36.74	$200.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.22 / $58.90 / $185.33	Professional	TC	$55.22	$58.90	$185.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $72.09 / $128.00	Professional		$52.67	$72.09	$128.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.72 / $18.89 / $46.90	Professional	26	$18.72	$18.89	$46.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.14 / $41.14 / $53.38	Professional	TC	$41.14	$41.14	$53.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $161.25 / $247.73	Professional		$99.48	$161.25	$247.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.07 / $69.20 / $105.67	Professional	26	$38.07	$69.20	$105.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.68 / $93.20 / $142.06	Professional	TC	$64.68	$93.20	$142.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $51.67 / $209.62	Facility		$25.83	$51.67	$209.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.87 / $90.87 / $90.87	Facility	26	$90.87	$90.87	$90.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $86.89 / $203.28	Professional		$54.42	$86.89	$203.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.30 / $33.21 / $116.38	Professional	26	$19.30	$33.21	$116.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.19 / $47.99 / $128.69	Professional	TC	$29.19	$47.99	$128.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $244.85 / $540.45 / $633.51	Facility		$244.85	$540.45	$633.51
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $95.98 / $221.64 / $221.64	Facility	26	$95.98	$221.64	$221.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $764.45 / $764.45 / $991.43	Professional		$764.45	$764.45	$991.43
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $310.87 / $311.07 / $319.80	Professional	26	$310.87	$311.07	$319.80
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $507.20 / $507.20 / $671.63	Professional	TC	$507.20	$507.20	$671.63
United Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $112.93 / $218.55	Professional		$70.29	$112.93	$218.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.51 / $45.68 / $94.35	Professional	26	$25.51	$45.68	$94.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.25 / $58.38 / $126.82	Professional	TC	$40.25	$58.38	$126.82