Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $47.38 / $77.00	Professional		$38.74	$47.38	$77.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.36 / $20.77 / $28.80	Professional	26	$17.36	$20.77	$28.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $25.63 / $47.65	Professional	TC	$21.38	$25.63	$47.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.84 / $37.84 / $37.84	Professional	26	$37.84	$37.84	$37.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $44.79 / $75.11	Professional		$30.42	$44.79	$75.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $20.93 / $31.19	Professional	26	$13.78	$20.93	$31.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.11 / $23.75 / $42.56	Professional	TC	$16.11	$23.75	$42.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $57.07 / $137.24	Professional		$36.72	$57.07	$137.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.54 / $24.69 / $62.73	Professional	26	$16.54	$24.69	$62.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.11 / $30.46 / $74.50	Professional	TC	$20.11	$30.46	$74.50
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $47.60 / $100.00 / $101.79	Facility	26	$47.60	$100.00	$101.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $339.23 / $349.41 / $388.58	Professional		$339.23	$349.41	$388.58
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $128.44 / $128.44 / $163.95	Professional	26	$128.44	$128.44	$163.95
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $221.35 / $227.99 / $227.99	Professional	TC	$221.35	$227.99	$227.99
United Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $45.94 / $71.25	Professional		$35.43	$45.94	$71.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $20.47 / $31.56	Professional	26	$16.07	$20.47	$31.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $25.56 / $45.04	Professional	TC	$19.76	$25.56	$45.04