Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.10 / $22.51 / $59.71	Facility	26	$22.10	$22.51	$59.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $174.30 / $300.61	Professional		$144.59	$174.30	$300.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.06 / $24.81 / $45.95	Professional	26	$22.06	$24.81	$45.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.11 / $143.62 / $254.66	Professional	TC	$123.11	$143.62	$254.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.88 / $285.88 / $286.32	Professional		$285.88	$285.88	$286.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $23.54 / $41.92	Professional	26	$17.12	$23.54	$41.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $219.83 / $328.68	Professional		$136.71	$219.83	$328.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.26 / $30.78 / $47.02	Professional	26	$21.26	$30.78	$47.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $118.26 / $191.56 / $287.83	Professional	TC	$118.26	$191.56	$287.83
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 $144.75 / $209.96 / $357.44	Professional		$144.75	$209.96	$357.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.00 / $30.82 / $52.64	Professional	26	$23.00	$30.82	$52.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.81 / $183.20 / $317.22	Professional	TC	$125.81	$183.20	$317.22
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $54.52 / $236.27 / $236.27	Facility	26	$54.52	$236.27	$236.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,346.55 / $1,431.47 / $1,470.69	Professional		$1,346.55	$1,431.47	$1,470.69
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $293.89 / $293.89 / $293.89	Professional	26	$293.89	$293.89	$293.89
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,154.84 / $1,288.22 / $1,323.51	Professional	TC	$1,154.84	$1,288.22	$1,323.51
United Facility/Professional Professional Modifier Low / Median / High Price $145.06 / $200.66 / $346.62	Professional		$145.06	$200.66	$346.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $29.48 / $52.10	Professional	26	$22.74	$29.48	$52.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $171.43 / $293.82	Professional	TC	$127.32	$171.43	$293.82