Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.39 / $49.37 / $105.00	Facility	26	$26.39	$49.37	$105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $120.48 / $448.00	Professional		$91.53	$120.48	$448.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.11 / $29.38 / $108.73	Professional	26	$23.11	$29.38	$108.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.58 / $82.80 / $137.91	Professional	TC	$67.58	$82.80	$137.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $128.94 / $175.24	Professional		$68.77	$128.94	$175.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.17 / $34.07 / $78.34	Professional	26	$18.17	$34.07	$78.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.74 / $140.34 / $240.57	Professional		$101.74	$140.34	$240.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.21 / $35.69 / $54.96	Professional	26	$25.21	$35.69	$54.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.20 / $107.07 / $181.91	Professional	TC	$76.20	$107.07	$181.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.20 / $28.20 / $28.20	Facility	26	$28.20	$28.20	$28.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $135.19 / $212.59	Professional		$91.87	$135.19	$212.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.14 / $36.26 / $59.03	Professional	26	$25.14	$36.26	$59.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.55 / $99.92 / $159.35	Professional	TC	$66.55	$99.92	$159.35
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $57.98 / $119.99 / $136.00	Facility	26	$57.98	$119.99	$136.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $698.76 / $698.76 / $817.73	Professional		$698.76	$698.76	$817.73
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $226.20 / $279.51 / $279.51	Professional	26	$226.20	$279.51	$279.51
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $479.00 / $479.00 / $621.90	Professional	TC	$479.00	$479.00	$621.90
United Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $122.54 / $213.05	Professional		$90.62	$122.54	$213.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.72 / $33.00 / $58.37	Professional	26	$23.72	$33.00	$58.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.55 / $90.31 / $169.86	Professional	TC	$66.55	$90.31	$169.86