Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.15 / $39.84 / $95.89	Facility	26	$36.15	$39.84	$95.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $79.54 / $147.10	Professional		$61.28	$79.54	$147.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.10 / $41.96 / $73.78	Professional	26	$35.10	$41.96	$73.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $38.29 / $71.59	Professional	TC	$22.57	$38.29	$71.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $99.95 / $119.73	Professional		$54.93	$99.95	$119.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.31 / $45.03 / $67.66	Professional	26	$31.31	$45.03	$67.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $83.77 / $149.16	Professional		$59.47	$83.77	$149.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $50.46 / $78.81	Professional	26	$36.40	$50.46	$78.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $33.26 / $75.01	Professional	TC	$19.98	$33.26	$75.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $90.41 / $154.38	Professional		$64.16	$90.41	$154.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.22 / $53.76 / $88.87	Professional	26	$37.22	$53.76	$88.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $36.06 / $75.37	Professional	TC	$21.94	$36.06	$75.37
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $174.72 / $178.60	Facility	26	$85.71	$174.72	$178.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $568.04 / $568.04 / $640.95	Professional		$568.04	$568.04	$640.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $236.22 / $236.22 / $288.98	Professional	26	$236.22	$236.22	$288.98
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $285.88 / $285.88 / $351.98	Professional	TC	$285.88	$285.88	$351.98
United Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $76.59 / $139.44	Professional		$58.31	$76.59	$139.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $46.22 / $88.24	Professional	26	$35.00	$46.22	$88.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.10 / $32.10 / $61.58	Professional	TC	$20.10	$32.10	$61.58