Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $26.89 / $110.31	Facility	26	$25.22	$26.89	$110.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $102.35 / $158.13	Professional		$93.98	$102.35	$158.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $26.23 / $69.83	Professional	26	$23.42	$26.23	$69.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.06 / $76.12 / $101.49	Professional	TC	$69.06	$76.12	$101.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $84.24 / $84.24	Professional		$84.24	$84.24	$84.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $15.36 / $47.39	Professional	26	$14.08	$15.36	$47.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $125.65 / $212.18	Professional		$62.80	$125.65	$212.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.43 / $40.01 / $79.16	Professional	26	$22.43	$40.01	$79.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.30 / $97.45 / $157.61	Professional	TC	$55.30	$97.45	$157.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.64 / $13.50 / $101.53	Facility	26	$12.64	$13.50	$101.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $95.12 / $221.27	Professional		$46.43	$95.12	$221.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.31 / $30.43 / $66.89	Professional	26	$13.31	$30.43	$66.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.60 / $71.88 / $162.82	Professional	TC	$32.60	$71.88	$162.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $78.48 / $148.36 / $162.63	Facility	26	$78.48	$148.36	$162.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $875.57 / $875.57 / $1,079.93	Professional		$875.57	$875.57	$1,079.93
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $212.17 / $212.17 / $261.23	Professional	26	$212.17	$212.17	$261.23
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $663.40 / $663.40 / $818.70	Professional	TC	$663.40	$663.40	$818.70
United Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $87.27 / $255.13	Professional		$52.84	$87.27	$255.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.96 / $24.39 / $62.45	Professional	26	$14.96	$24.39	$62.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.86 / $62.58 / $178.10	Professional	TC	$35.86	$62.58	$178.10