Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.29 / $42.83 / $111.10	Facility	26	$36.29	$42.83	$111.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $215.00 / $551.91	Professional		$176.99	$215.00	$551.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $40.00 / $103.68	Professional	26	$29.75	$40.00	$103.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.36 / $169.96 / $293.88	Professional	TC	$141.36	$169.96	$293.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.77 / $198.77 / $335.23	Professional		$126.77	$198.77	$335.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.57 / $37.92 / $69.12	Professional	26	$27.57	$37.92	$69.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $104.06 / $104.06 / $184.71	Professional	TC	$104.06	$104.06	$184.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $262.76 / $392.27	Professional		$165.08	$262.76	$392.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $44.08 / $74.40	Professional	26	$32.15	$44.08	$74.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $135.86 / $221.39 / $332.57	Professional	TC	$135.86	$221.39	$332.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.27 / $43.27 / $43.27	Facility	26	$43.27	$43.27	$43.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.18 / $246.21 / $411.40	Professional		$180.18	$246.21	$411.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $45.31 / $85.11	Professional	26	$33.36	$45.31	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.81 / $200.76 / $353.07	Professional	TC	$143.81	$200.76	$353.07
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $87.82 / $189.47 / $210.00	Facility	26	$87.82	$189.47	$210.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,580.85 / $1,582.03 / $1,625.38	Professional		$1,580.85	$1,582.03	$1,625.38
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $422.69 / $422.69 / $422.69	Professional	26	$422.69	$422.69	$422.69
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,276.50 / $1,414.75 / $1,453.51	Professional	TC	$1,276.50	$1,414.75	$1,453.51
United Facility/Professional Professional Modifier Low / Median / High Price $183.20 / $240.00 / $408.69	Professional		$183.20	$240.00	$408.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.10 / $42.82 / $79.53	Professional	26	$32.10	$42.82	$79.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $145.72 / $197.53 / $337.92	Professional	TC	$145.72	$197.53	$337.92