Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.69 / $45.95 / $146.66	Facility	26	$31.69	$45.95	$146.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.49 / $133.24 / $208.85	Professional		$126.49	$133.24	$208.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.69 / $36.95 / $112.40	Professional	26	$31.69	$36.95	$112.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.80 / $99.85 / $156.50	Professional	TC	$94.80	$99.85	$156.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $106.25 / $112.40	Professional		$76.95	$106.25	$112.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $19.39 / $78.17	Professional	26	$17.80	$19.39	$78.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $200.69 / $286.37	Professional		$105.06	$200.69	$286.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $69.51 / $90.40	Professional	26	$28.41	$69.51	$90.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.52 / $141.94 / $208.83	Professional	TC	$76.52	$141.94	$208.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.25 / $29.11 / $101.53	Facility	26	$27.25	$29.11	$101.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $124.29 / $298.00	Professional		$77.04	$124.29	$298.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.96 / $41.91 / $92.07	Professional	26	$19.96	$41.91	$92.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.01 / $77.59 / $223.60	Professional	TC	$54.01	$77.59	$223.60
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $99.23 / $239.31 / $239.31	Facility	26	$99.23	$239.31	$239.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.80 / $1,140.80 / $1,458.60	Professional		$1,140.80	$1,140.80	$1,458.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $326.98 / $330.05 / $330.38	Professional	26	$326.98	$330.05	$330.38
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $871.18 / $871.18 / $1,128.23	Professional	TC	$871.18	$871.18	$1,128.23
United Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $119.57 / $319.51	Professional		$94.85	$119.57	$319.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.46 / $36.92 / $83.81	Professional	26	$26.46	$36.92	$83.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.79 / $85.73 / $229.56	Professional	TC	$58.79	$85.73	$229.56