Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $64.04 / $119.18	Professional		$52.84	$64.04	$119.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.92 / $37.00 / $71.53	Professional	26	$30.92	$37.00	$71.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.76 / $24.52 / $34.90	Professional	TC	$21.76	$24.52	$34.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $110.36 / $110.36	Professional		$110.36	$110.36	$110.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.03 / $67.03 / $67.03	Professional	26	$67.03	$67.03	$67.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $58.68 / $92.22	Professional		$41.12	$58.68	$92.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.84 / $36.44 / $55.90	Professional	26	$25.84	$36.44	$55.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.41 / $23.70 / $37.67	Professional	TC	$16.41	$23.70	$37.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $71.13 / $187.60	Professional		$50.01	$71.13	$187.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.56 / $43.75 / $111.17	Professional	26	$29.56	$43.75	$111.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $27.02 / $76.42	Professional	TC	$18.23	$27.02	$76.42
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $84.68 / $165.02 / $183.07	Facility	26	$84.68	$165.02	$183.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $396.08 / $396.08 / $525.75	Professional		$396.08	$396.08	$525.75
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $347.34 / $347.34 / $347.34	Professional	26	$347.34	$347.34	$347.34
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $166.53 / $166.53 / $233.18	Professional	TC	$166.53	$166.53	$233.18
United Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $58.14 / $92.66	Professional		$41.99	$58.14	$92.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.03 / $36.22 / $62.91	Professional	26	$27.03	$36.22	$62.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.07 / $23.17 / $34.81	Professional	TC	$16.07	$23.17	$34.81