Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.68 / $25.00 / $60.16	Facility	26	$22.68	$25.00	$60.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $140.22 / $226.54	Professional		$115.57	$140.22	$226.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $24.07 / $46.29	Professional	26	$18.76	$24.07	$46.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.50 / $111.64 / $191.86	Professional	TC	$93.50	$111.64	$191.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $18.84 / $41.79	Professional	26	$16.89	$18.84	$41.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $175.51 / $268.54	Professional		$106.52	$175.51	$268.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $28.26 / $46.99	Professional	26	$20.60	$28.26	$46.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.50 / $144.75 / $223.47	Professional	TC	$87.50	$144.75	$223.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.88 / $158.99 / $281.27	Professional		$117.88	$158.99	$281.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $28.52 / $51.94	Professional	26	$21.70	$28.52	$51.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.57 / $132.88 / $245.84	Professional	TC	$94.57	$132.88	$245.84
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $53.90 / $174.32 / $174.32	Facility	26	$53.90	$174.32	$174.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.17 / $1,037.03 / $1,063.54	Professional		$1,035.17	$1,037.03	$1,063.54
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $303.79 / $303.79 / $303.79	Professional	26	$303.79	$303.79	$303.79
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $848.18 / $922.24 / $947.51	Professional	TC	$848.18	$922.24	$947.51
United Facility/Professional Professional Modifier Low / Median / High Price $118.23 / $163.51 / $270.70	Professional		$118.23	$163.51	$270.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.79 / $26.70 / $49.41	Professional	26	$20.79	$26.70	$49.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.24 / $135.71 / $226.42	Professional	TC	$94.24	$135.71	$226.42