Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $86.30 / $109.38	Professional		$80.90	$86.30	$109.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.58 / $24.84 / $66.75	Professional	26	$23.58	$24.84	$66.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.32 / $61.14 / $78.08	Professional	TC	$57.32	$61.14	$78.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.69 / $18.69 / $18.69	Professional	26	$18.69	$18.69	$18.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $107.41 / $179.62	Professional		$83.53	$107.41	$179.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.35 / $37.42 / $58.36	Professional	26	$27.35	$37.42	$58.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.66 / $70.48 / $123.44	Professional	TC	$53.66	$70.48	$123.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.64 / $12.43 / $50.00	Facility	26	$11.64	$12.43	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $74.67 / $183.91	Professional		$49.80	$74.67	$183.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.33 / $24.67 / $62.81	Professional	26	$14.33	$24.67	$62.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.96 / $52.84 / $128.97	Professional	TC	$34.96	$52.84	$128.97
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $79.11 / $149.85 / $164.49	Facility	26	$79.11	$149.85	$164.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $730.19 / $730.19 / $1,094.09	Professional		$730.19	$730.19	$1,094.09
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $199.12 / $200.25 / $264.08	Professional	26	$199.12	$200.25	$264.08
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $531.07 / $531.07 / $830.03	Professional	TC	$531.07	$531.07	$830.03
United Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $66.87 / $215.56	Professional		$40.78	$66.87	$215.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $22.94 / $59.05	Professional	26	$13.86	$22.94	$59.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.10 / $49.59 / $151.72	Professional	TC	$26.10	$49.59	$151.72