Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.87 / $24.60 / $63.32	Facility	26	$23.87	$24.60	$63.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $128.19 / $184.71	Professional		$101.65	$128.19	$184.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.36 / $27.87 / $44.82	Professional	26	$23.36	$27.87	$44.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $103.33 / $142.12	Professional	TC	$69.04	$103.33	$142.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.46 / $27.46 / $27.46	Professional	26	$27.46	$27.46	$27.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.53 / $215.36 / $324.91	Professional		$130.53	$215.36	$324.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.16 / $35.82 / $52.83	Professional	26	$22.16	$35.82	$52.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.71 / $180.96 / $268.38	Professional	TC	$108.71	$180.96	$268.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.43 / $39.43 / $39.43	Facility	26	$39.43	$39.43	$39.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.01 / $203.76 / $346.39	Professional		$144.01	$203.76	$346.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.76 / $36.27 / $59.59	Professional	26	$24.76	$36.27	$59.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.08 / $171.16 / $295.48	Professional	TC	$116.08	$171.16	$295.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $82.93 / $174.33 / $174.33	Facility	26	$82.93	$174.33	$174.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.73 / $1,341.64 / $1,341.64	Professional		$1,219.73	$1,341.64	$1,341.64
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $286.73 / $375.24 / $375.24	Professional	26	$286.73	$375.24	$375.24
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $936.06 / $1,090.58 / $1,120.47	Professional	TC	$936.06	$1,090.58	$1,120.47
United Facility/Professional Professional Modifier Low / Median / High Price $144.12 / $198.80 / $330.18	Professional		$144.12	$198.80	$330.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $33.94 / $56.20	Professional	26	$24.37	$33.94	$56.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.56 / $170.13 / $281.60	Professional	TC	$120.56	$170.13	$281.60