Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $90.14 / $115.70	Professional		$85.58	$90.14	$115.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.99 / $33.70 / $43.25	Professional	26	$31.99	$33.70	$43.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.59 / $56.44 / $72.45	Professional	TC	$53.59	$56.44	$72.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $51.77 / $51.77	Professional		$51.77	$51.77	$51.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.66 / $19.69 / $19.77	Professional	26	$19.66	$19.69	$19.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $185.52 / $296.83	Professional		$106.68	$185.52	$296.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.89 / $73.43 / $110.41	Professional	26	$39.89	$73.43	$110.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.81 / $112.68 / $186.43	Professional	TC	$66.81	$112.68	$186.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.95 / $29.86 / $97.15	Facility	26	$27.95	$29.86	$97.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $89.36 / $269.49	Professional		$54.92	$89.36	$269.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $39.17 / $114.18	Professional	26	$20.38	$39.17	$114.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $52.39 / $133.82	Professional	TC	$34.54	$52.39	$133.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $101.57 / $237.42 / $237.42	Facility	26	$101.57	$237.42	$237.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $881.27 / $907.71 / $960.68	Professional		$881.27	$907.71	$960.68
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $341.88 / $342.38 / $342.38	Professional	26	$341.88	$342.38	$342.38
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $549.40 / $565.88 / $629.17	Professional	TC	$549.40	$565.88	$629.17
United Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $129.19 / $256.10	Professional		$71.48	$129.19	$256.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.09 / $46.56 / $93.35	Professional	26	$27.09	$46.56	$93.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.39 / $74.38 / $145.88	Professional	TC	$44.39	$74.38	$145.88