Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.52 / $27.03 / $65.05	Facility	26	$24.52	$27.03	$65.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $55.94 / $97.39	Professional		$42.46	$55.94	$97.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $27.03 / $49.19	Professional	26	$24.07	$27.03	$49.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $31.03 / $58.84	Professional	TC	$17.87	$31.03	$58.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $21.36 / $34.46	Professional	26	$18.16	$21.36	$34.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $67.58 / $113.55	Professional		$49.20	$67.58	$113.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.52 / $35.72 / $56.30	Professional	26	$25.52	$35.72	$56.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.12 / $33.54 / $62.24	Professional	TC	$20.12	$33.54	$62.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.51 / $28.51 / $28.51	Facility	26	$28.51	$28.51	$28.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $66.17 / $117.27	Professional		$47.08	$66.17	$117.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.42 / $37.03 / $61.11	Professional	26	$25.42	$37.03	$61.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $29.74 / $62.48	Professional	TC	$17.92	$29.74	$62.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $58.37 / $118.83 / $122.08	Facility	26	$58.37	$118.83	$122.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.18 / $398.18 / $488.70	Professional		$398.18	$398.18	$488.70
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $160.04 / $160.04 / $198.98	Professional	26	$160.04	$160.04	$198.98
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $238.14 / $238.14 / $289.73	Professional	TC	$238.14	$238.14	$289.73
United Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $56.98 / $103.98	Professional		$42.45	$56.98	$103.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.94 / $31.13 / $58.60	Professional	26	$23.94	$31.13	$58.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.92 / $26.40 / $50.82	Professional	TC	$15.92	$26.40	$50.82