Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $63.20 / $117.75	Professional		$52.08	$63.20	$117.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $27.04 / $52.04	Professional	26	$22.42	$27.04	$52.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.80 / $31.40 / $43.09	Professional	52	$25.80	$31.40	$43.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $35.47 / $60.08	Professional	TC	$29.66	$35.47	$60.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.35 / $107.95	Professional		$56.23	$57.35	$107.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.94 / $48.94 / $48.94	Professional	26	$48.94	$48.94	$48.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $59.47 / $93.50	Professional		$39.47	$59.47	$93.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $26.55 / $39.74	Professional	26	$17.55	$26.55	$39.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.62 / $33.18 / $55.19	Professional	TC	$22.62	$33.18	$55.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $72.87 / $183.51	Professional		$49.44	$72.87	$183.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.40 / $31.94 / $81.16	Professional	26	$21.40	$31.94	$81.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.76 / $42.06 / $102.35	Professional	TC	$27.76	$42.06	$102.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.69 / $286.08 / $333.50	Facility		$120.69	$286.08	$333.50
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $61.29 / $102.04 / $152.15	Facility	26	$61.29	$102.04	$152.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $396.63 / $403.38 / $524.78	Professional		$396.63	$403.38	$524.78
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $167.21 / $167.21 / $212.40	Professional	26	$167.21	$167.21	$212.40
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $257.11 / $264.83 / $312.38	Professional	TC	$257.11	$264.83	$312.38
United Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $61.03 / $100.05	Professional		$46.90	$61.03	$100.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.71 / $26.56 / $40.40	Professional	26	$19.71	$26.56	$40.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $34.29 / $57.67	Professional	TC	$27.07	$34.29	$57.67