Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $39.81 / $54.95	Facility	26	$36.31	$39.81	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $562.34	Professional		$169.82	$257.04	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $112.20	Professional	26	$34.67	$46.77	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $181.97 / $346.74	Professional	TC	$141.25	$181.97	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $281.84	Professional		$128.82	$169.82	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $69.18	Professional	26	$28.18	$39.81	$69.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $158.49 / $251.19	Professional	TC	$123.03	$158.49	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $398.11	Professional		$144.54	$229.09	$398.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $47.86 / $81.28	Professional	26	$33.88	$47.86	$81.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $229.09 / $346.74	Professional	TC	$147.91	$229.09	$346.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $42.66 / $61.66	Facility	26	$9.12	$42.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $380.19	Professional		$181.97	$234.42	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $42.66 / $72.44	Professional	26	$32.36	$42.66	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $199.53 / $331.13	Professional	TC	$147.91	$199.53	$331.13
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	26	$239.88	$239.88	$239.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,621.81	Professional		$1,584.89	$1,584.89	$1,621.81
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $426.58 / $426.58	Professional	26	$426.58	$426.58	$426.58
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,288.25 / $1,288.25 / $1,445.44	Professional	TC	$1,288.25	$1,288.25	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $380.19	Professional		$177.83	$234.42	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $40.74 / $74.13	Professional	26	$31.62	$40.74	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $194.98 / $309.03	Professional	TC	$144.54	$194.98	$309.03