Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $83.18	Facility	26	$44.67	$44.67	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $229.09	Professional		$66.07	$89.13	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $123.03	Professional	26	$37.15	$48.98	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $38.90 / $67.61	Professional	TC	$22.91	$38.90	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $141.25	Professional		$70.79	$93.33	$141.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $50.12 / $75.86	Professional	26	$34.67	$50.12	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $85.11 / $154.88	Professional		$17.78	$85.11	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $64.57 / $95.50	Professional	26	$46.77	$64.57	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $37.15 / $77.62	Professional	TC	$22.39	$37.15	$77.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $45.71 / $66.07	Facility	26	$10.00	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $162.18	Professional		$69.18	$93.33	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $60.26 / $107.15	Professional	26	$41.69	$60.26	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.88 / $77.62	Professional	TC	$22.91	$33.88	$77.62
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	26	$263.03	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $645.65 / $645.65	Professional		$616.60	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $323.59 / $323.59	Professional	26	$263.03	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $323.59 / $323.59	Professional	TC	$263.03	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $138.04	Professional		$60.26	$81.28	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $51.29 / $85.11	Professional	26	$38.02	$51.29	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $52.48	Professional	TC	$20.89	$30.20	$52.48