Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $145.57 / $196.09	Professional		$138.00	$145.57	$196.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $18.93 / $24.30	Professional	26	$17.80	$18.93	$24.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.03 / $127.76 / $175.03	Professional	TC	$120.03	$127.76	$175.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $85.09 / $85.09	Professional		$85.09	$85.09	$85.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $10.69 / $10.69	Professional	26	$10.69	$10.69	$10.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $246.68 / $297.16	Professional		$112.29	$246.68	$297.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $54.49 / $85.71	Professional	26	$22.41	$54.49	$85.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.94 / $174.70 / $253.86	Professional	TC	$86.94	$174.70	$253.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.08 / $26.80 / $90.94	Facility	26	$25.08	$26.80	$90.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $122.78 / $342.42	Professional		$67.37	$122.78	$342.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $23.14 / $72.66	Professional	26	$11.00	$23.14	$72.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.40 / $95.47 / $267.02	Professional	TC	$46.40	$95.47	$267.02
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $55.44 / $240.51 / $240.51	Facility	26	$55.44	$240.51	$240.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.58 / $1,336.58 / $1,642.13	Professional		$1,336.58	$1,336.58	$1,642.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $262.83 / $315.72 / $315.72	Professional	26	$262.83	$315.72	$315.72
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,188.97 / $1,188.97 / $1,461.53	Professional	TC	$1,188.97	$1,188.97	$1,461.53
United Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $141.07 / $336.16	Professional		$84.64	$141.07	$336.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.08 / $29.72 / $79.36	Professional	26	$15.08	$29.72	$79.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.09 / $102.12 / $253.60	Professional	TC	$74.09	$102.12	$253.60