Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $117.71 / $149.01	Professional		$104.85	$117.71	$149.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $15.12 / $18.48	Professional	26	$13.61	$15.12	$18.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.45 / $102.22 / $132.91	Professional	TC	$89.45	$102.22	$132.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $107.33 / $169.87	Professional		$107.33	$107.33	$169.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $98.08 / $166.31	Professional		$67.34	$98.08	$166.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $14.75 / $21.65	Professional	26	$9.35	$14.75	$21.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.71 / $84.14 / $135.71	Professional	TC	$59.71	$84.14	$135.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $129.47 / $366.07	Professional		$85.28	$129.47	$366.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $18.23 / $45.15	Professional	26	$13.03	$18.23	$45.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.73 / $113.11 / $320.91	Professional	TC	$73.73	$113.11	$320.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $100.00 / $100.00	Facility	26	$34.29	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $800.25 / $800.25 / $1,116.59	Professional		$800.25	$800.25	$1,116.59
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $135.38 / $135.38 / $135.38	Professional	26	$135.38	$135.38	$135.38
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $706.26 / $706.26 / $998.10	Professional	TC	$706.26	$706.26	$998.10
United Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $102.31 / $224.46	Professional		$77.80	$102.31	$224.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $14.43 / $25.22	Professional	26	$11.64	$14.43	$25.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.08 / $83.44 / $130.56	Professional	TC	$63.08	$83.44	$130.56