Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $87.10 / $87.10	Facility	26	$42.66	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $316.23	Professional		$125.89	$158.49	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $123.03	Professional	26	$39.81	$51.29	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $107.15 / $186.21	Professional	TC	$83.18	$107.15	$186.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $47.86 / $97.72	Professional	26	$31.62	$47.86	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $165.96 / $281.84	Professional		$77.62	$165.96	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $67.61 / $102.33	Professional	26	$48.98	$67.61	$102.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $125.89 / $194.98	Professional	TC	$91.20	$125.89	$194.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $302.00	Professional		$131.83	$199.53	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $93.33	Professional	26	$43.65	$61.66	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $134.90 / $218.78	Professional	TC	$87.10	$134.90	$218.78
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	26	$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,122.02 / $1,122.02	Professional		$1,096.48	$1,122.02	$1,122.02
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $446.68 / $446.68 / $446.68	Professional	26	$446.68	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $891.25 / $891.25 / $891.25	Professional	TC	$891.25	$891.25	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $275.42	Professional		$123.03	$169.82	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $53.70 / $87.10	Professional	26	$41.69	$53.70	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $109.65 / $190.55	Professional	TC	$83.18	$109.65	$190.55