Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.50 / $67.89 / $112.75	Facility	26	$42.50	$67.89	$112.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.59 / $151.71 / $267.33	Professional		$128.59	$151.71	$267.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.32 / $46.84 / $86.74	Professional	26	$40.32	$46.84	$86.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.01 / $106.59 / $178.91	Professional	TC	$86.01	$106.59	$178.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.05 / $243.05 / $243.05	Professional		$243.05	$243.05	$243.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.78 / $75.59 / $75.59	Professional	26	$74.78	$75.59	$75.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.79 / $183.32 / $270.52	Professional		$125.79	$183.32	$270.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.37 / $62.42 / $96.44	Professional	26	$44.37	$62.42	$96.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.54 / $121.02 / $181.09	Professional	TC	$82.54	$121.02	$181.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.06 / $49.06 / $49.06	Facility	26	$49.06	$49.06	$49.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.65 / $197.83 / $322.66	Professional		$131.65	$197.83	$322.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.24 / $62.78 / $103.48	Professional	26	$44.24	$62.78	$103.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.21 / $131.15 / $231.84	Professional	TC	$87.21	$131.15	$231.84
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $101.58 / $214.35 / $214.35	Facility	26	$101.58	$214.35	$214.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.26 / $1,086.26 / $1,129.05	Professional		$1,086.26	$1,086.26	$1,129.05
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $449.09 / $449.09 / $449.09	Professional	26	$449.09	$449.09	$449.09
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $867.64 / $893.67 / $893.67	Professional	TC	$867.64	$893.67	$893.67
United Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $175.94 / $306.64	Professional		$122.40	$175.94	$306.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.57 / $55.55 / $98.17	Professional	26	$41.57	$55.55	$98.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.20 / $113.06 / $207.71	Professional	TC	$80.20	$113.06	$207.71