Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.11 / $44.20 / $106.39	Facility	26	$40.11	$44.20	$106.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $77.73 / $133.94	Professional		$63.72	$77.73	$133.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.36 / $45.21 / $76.38	Professional	26	$39.36	$45.21	$76.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $34.74 / $65.80	Professional	TC	$23.28	$34.74	$65.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $121.49 / $138.25	Professional		$79.89	$121.49	$138.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $56.39 / $75.17	Professional	26	$34.96	$56.39	$75.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $88.90 / $153.16	Professional		$66.34	$88.90	$153.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.65 / $57.14 / $86.98	Professional	26	$39.65	$57.14	$86.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $33.52 / $68.59	Professional	TC	$20.55	$33.52	$68.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.26 / $46.26 / $46.26	Facility	26	$46.26	$46.26	$46.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $94.11 / $160.91	Professional		$68.17	$94.11	$160.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.14 / $59.67 / $98.73	Professional	26	$41.14	$59.67	$98.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.74 / $34.46 / $69.51	Professional	TC	$22.74	$34.46	$69.51
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $190.77 / $199.79	Facility	26	$95.51	$190.77	$199.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $622.15 / $622.15 / $648.67	Professional		$622.15	$622.15	$648.67
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $262.07 / $262.07 / $324.98	Professional	26	$262.07	$262.07	$324.98
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $264.17 / $264.17 / $323.63	Professional	TC	$264.17	$264.17	$323.63
United Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $82.58 / $147.57	Professional		$60.33	$82.58	$147.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.31 / $50.43 / $93.29	Professional	26	$38.31	$50.43	$93.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $30.54 / $56.91	Professional	TC	$21.08	$30.54	$56.91