Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.29 / $12.89 / $16.68	Facility	26	$6.29	$12.89	$16.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $6.93 / $22.90	Professional	26	$5.82	$6.93	$22.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.47 / $21.72 / $37.70	Professional	TC	$18.47	$21.72	$37.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.93 / $27.42 / $45.34	Professional	26	$17.93	$27.42	$45.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.29 / $52.29 / $52.29	Professional	TC	$52.29	$52.29	$52.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.03 / $34.31 / $52.12	Professional	26	$23.03	$34.31	$52.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.04 / $101.42 / $152.63	Professional	TC	$68.04	$101.42	$152.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	26	$28.15	$28.15	$28.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.81 / $35.01 / $59.55	Professional	26	$24.81	$35.01	$59.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.36 / $104.12 / $179.95	Professional	TC	$74.36	$104.12	$179.95
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $57.75 / $110.49 / $120.22	Facility	26	$57.75	$110.49	$120.22
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $145.16 / $149.40 / $196.13	Professional	26	$145.16	$149.40	$196.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $393.12 / $393.12 / $650.17	Professional	TC	$393.12	$393.12	$650.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.68 / $62.49 / $73.52	Professional	26	$22.68	$62.49	$73.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.14 / $195.50 / $227.57	Professional	TC	$66.14	$195.50	$227.57