Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.82 / $40.21 / $96.81	Facility	26	$35.82	$40.21	$96.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.30 / $202.36 / $379.01	Professional		$182.30	$202.36	$379.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $37.94 / $74.48	Professional	26	$21.46	$37.94	$74.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.29 / $164.44 / $275.93	Professional	TC	$146.29	$164.44	$275.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.28 / $354.28 / $354.28	Professional		$354.28	$354.28	$354.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.44 / $39.85 / $45.91	Professional	26	$29.44	$39.85	$45.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.52 / $266.20 / $398.23	Professional		$169.52	$266.20	$398.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.59 / $40.83 / $74.15	Professional	26	$27.59	$40.83	$74.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $140.60 / $223.92 / $342.59	Professional	TC	$140.60	$223.92	$342.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.28 / $43.28 / $43.28	Facility	26	$43.28	$43.28	$43.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.54 / $252.04 / $420.26	Professional		$179.54	$252.04	$420.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.41 / $41.51 / $83.41	Professional	26	$26.41	$41.51	$83.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.37 / $212.43 / $365.35	Professional	TC	$144.37	$212.43	$365.35
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $87.53 / $181.36 / $181.36	Facility	26	$87.53	$181.36	$181.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.49 / $1,588.86 / $1,662.38	Professional		$1,546.49	$1,588.86	$1,662.38
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $391.31 / $391.31 / $391.31	Professional	26	$391.31	$391.31	$391.31
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,356.90 / $1,417.87 / $1,456.72	Professional	TC	$1,356.90	$1,417.87	$1,456.72
United Facility/Professional Professional Modifier Low / Median / High Price $183.05 / $237.06 / $400.36	Professional		$183.05	$237.06	$400.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.86 / $41.14 / $84.47	Professional	26	$24.86	$41.14	$84.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.54 / $204.58 / $350.86	Professional	TC	$151.54	$204.58	$350.86