Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.85 / $55.37	Professional		$27.54	$33.85	$55.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.36 / $15.62 / $19.96	Professional	26	$13.36	$15.62	$19.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.18 / $17.07 / $30.14	Professional	TC	$14.18	$17.07	$30.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $57.26 / $57.26	Professional		$57.26	$57.26	$57.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $30.41 / $51.96	Professional		$20.67	$30.41	$51.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.54 / $16.07 / $24.21	Professional	26	$10.54	$16.07	$24.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.05 / $16.51 / $30.58	Professional	TC	$11.05	$16.51	$30.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $40.76 / $97.68	Professional		$26.04	$40.76	$97.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.70 / $18.57 / $48.15	Professional	26	$12.70	$18.57	$48.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.28 / $20.53 / $49.53	Professional	TC	$13.28	$20.53	$49.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $171.87 / $174.90	Facility		$91.66	$171.87	$174.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $100.00 / $100.00	Facility	26	$36.40	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $277.88 / $354.38 / $366.08	Professional		$277.88	$354.38	$366.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $98.32 / $98.61 / $126.75	Professional	26	$98.32	$98.61	$126.75
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $180.44 / $180.44 / $180.44	Professional	TC	$180.44	$180.44	$180.44
United Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $32.58 / $51.16	Professional		$25.72	$32.58	$51.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $15.63 / $24.23	Professional	26	$12.34	$15.63	$24.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.27 / $17.16 / $30.05	Professional	TC	$13.27	$17.16	$30.05