Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $111.40 / $140.52	Professional		$99.48	$111.40	$140.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.91 / $79.18 / $101.50	Professional	26	$71.91	$79.18	$101.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $30.31 / $38.04	Professional	TC	$21.06	$30.31	$38.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $143.57 / $175.39	Professional		$89.01	$143.57	$175.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $105.92 / $105.92 / $105.92	Professional	26	$105.92	$105.92	$105.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $97.52 / $147.07	Professional		$68.63	$97.52	$147.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.20 / $76.62 / $116.25	Professional	26	$50.20	$76.62	$116.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.10 / $24.05 / $38.86	Professional	TC	$15.10	$24.05	$38.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $127.92 / $326.22	Professional		$91.27	$127.92	$326.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.18 / $95.49 / $235.39	Professional	26	$68.18	$95.49	$235.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.54 / $29.05 / $90.83	Professional	TC	$19.54	$29.05	$90.83
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $136.99 / $343.65 / $379.86	Facility	26	$136.99	$343.65	$379.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $702.18 / $702.18 / $855.00	Professional		$702.18	$702.18	$855.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $487.97 / $487.97 / $607.73	Professional	26	$487.97	$487.97	$607.73
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $214.27 / $214.27 / $247.28	Professional	TC	$214.27	$214.27	$247.28
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $98.69 / $153.43	Professional		$81.36	$98.69	$153.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.17 / $75.84 / $127.40	Professional	26	$61.17	$75.84	$127.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.13 / $23.36 / $39.75	Professional	TC	$16.13	$23.36	$39.75