Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.03 / $59.53 / $143.33	Facility	26	$54.03	$59.53	$143.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $98.38 / $191.68	Professional		$83.62	$98.38	$191.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.24 / $61.79 / $110.26	Professional	26	$52.24	$61.79	$110.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $38.60 / $72.16	Professional	TC	$26.89	$38.60	$72.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $114.64 / $150.00	Professional		$74.00	$114.64	$150.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.38 / $65.87 / $101.29	Professional	26	$47.38	$65.87	$101.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $112.82 / $186.82	Professional		$80.95	$112.82	$186.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.25 / $75.95 / $117.16	Professional	26	$55.25	$75.95	$117.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $38.27 / $75.65	Professional	TC	$23.77	$38.27	$75.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.81 / $62.81 / $62.81	Facility	26	$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $119.38 / $196.93	Professional		$85.17	$119.38	$196.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.76 / $78.50 / $133.82	Professional	26	$55.76	$78.50	$133.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.31 / $38.06 / $75.95	Professional	TC	$26.31	$38.06	$75.95
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $129.41 / $248.27 / $270.89	Facility	26	$129.41	$248.27	$270.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $746.58 / $746.58 / $795.23	Professional		$746.58	$746.58	$795.23
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $352.29 / $352.29 / $440.48	Professional	26	$352.29	$352.29	$440.48
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $288.04 / $288.04 / $354.75	Professional	TC	$288.04	$288.04	$354.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $102.22 / $184.43	Professional		$78.00	$102.22	$184.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.12 / $68.90 / $125.34	Professional	26	$52.12	$68.90	$125.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.95 / $33.92 / $63.03	Professional	TC	$23.95	$33.92	$63.03