Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $100.17 / $135.22	Professional		$93.91	$100.17	$135.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.16 / $32.17 / $93.12	Professional	26	$30.16	$32.17	$93.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.75 / $68.00 / $91.80	Professional	TC	$63.75	$68.00	$91.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.26 / $23.26 / $23.26	Professional	26	$23.26	$23.26	$23.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $202.23 / $308.74	Professional		$100.55	$202.23	$308.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $74.05 / $98.01	Professional	26	$34.97	$74.05	$98.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.55 / $133.26 / $208.34	Professional	TC	$60.55	$133.26	$208.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.00 / $34.19 / $84.89	Facility	26	$32.00	$34.19	$84.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $95.11 / $264.89	Professional		$58.29	$95.11	$264.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.66 / $34.74 / $111.98	Professional	26	$19.66	$34.74	$111.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $60.73 / $141.24	Professional	TC	$36.86	$60.73	$141.24
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $98.60 / $271.50 / $271.50	Facility	26	$98.60	$271.50	$271.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,070.24 / $1,070.24 / $1,246.43	Professional		$1,070.24	$1,070.24	$1,246.43
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $390.67 / $392.28 / $392.28	Professional	26	$390.67	$392.28	$392.28
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $793.60 / $793.60 / $918.90	Professional	TC	$793.60	$793.60	$918.90
United Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $127.55 / $275.54	Professional		$73.77	$127.55	$275.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.19 / $40.04 / $90.93	Professional	26	$25.19	$40.04	$90.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.58 / $83.54 / $201.18	Professional	TC	$48.58	$83.54	$201.18