Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.97 / $64.98 / $156.44	Facility	26	$58.97	$64.98	$156.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $106.01 / $199.13	Professional		$93.18	$106.01	$199.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $1,503.50 / $1,503.50 / $1,503.50	Professional	25	$1,503.50	$1,503.50	$1,503.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $69.17 / $120.35	Professional	26	$57.00	$69.17	$120.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.51 / $41.38 / $77.38	Professional	TC	$30.51	$41.38	$77.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $153.99 / $182.43	Professional		$79.95	$153.99	$182.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.04 / $51.46 / $110.09	Professional	26	$47.04	$51.46	$110.09
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.01 / $36.01 / $36.01	Professional	TC	$36.01	$36.01	$36.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $124.81 / $202.13	Professional		$91.55	$124.81	$202.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.36 / $83.35 / $133.47	Professional	26	$60.36	$83.35	$133.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.12 / $42.19 / $80.75	Professional	TC	$27.12	$42.19	$80.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.20 / $68.20 / $68.20	Facility	26	$68.20	$68.20	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $133.03 / $210.40	Professional		$94.40	$133.03	$210.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.76 / $88.14 / $145.82	Professional	26	$60.76	$88.14	$145.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.65 / $41.09 / $81.23	Professional	TC	$29.65	$41.09	$81.23
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $140.60 / $284.70 / $294.26	Facility	26	$140.60	$284.70	$294.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $865.60 / $865.60 / $865.60	Professional		$865.60	$865.60	$865.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $382.35 / $382.35 / $477.60	Professional	26	$382.35	$382.35	$477.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $307.58 / $307.58 / $380.25	Professional	TC	$307.58	$307.58	$380.25
United Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $111.05 / $207.49	Professional		$84.70	$111.05	$207.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.52 / $75.39 / $144.66	Professional	26	$56.52	$75.39	$144.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.16 / $37.43 / $66.88	Professional	TC	$27.16	$37.43	$66.88