Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.02 / $24.80 / $46.15	Facility	26	$22.02	$24.80	$46.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.05 / $128.03 / $220.82	Professional		$114.05	$128.03	$220.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $23.54 / $63.83	Professional	26	$14.49	$23.54	$63.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.95 / $104.37 / $172.15	Professional	TC	$91.95	$104.37	$172.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.75 / $25.02 / $43.33	Professional	26	$16.75	$25.02	$43.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $176.27 / $263.14	Professional		$106.82	$176.27	$263.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.27 / $25.81 / $45.56	Professional	26	$18.27	$25.81	$45.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.06 / $145.88 / $222.85	Professional	TC	$87.06	$145.88	$222.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $26.70 / $26.70	Facility	26	$26.70	$26.70	$26.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $160.35 / $270.61	Professional		$117.14	$160.35	$270.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.07 / $51.45	Professional	26	$17.38	$26.07	$51.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.33 / $135.86 / $244.79	Professional	TC	$94.33	$135.86	$244.79
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $53.56 / $109.96 / $109.96	Facility	26	$53.56	$109.96	$109.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.59 / $1,030.20 / $1,049.58	Professional		$1,021.59	$1,030.20	$1,049.58
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $203.09 / $203.09 / $203.09	Professional	26	$203.09	$203.09	$203.09
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $845.33 / $934.78 / $960.39	Professional	TC	$845.33	$934.78	$960.39
United Facility/Professional Professional Modifier Low / Median / High Price $118.23 / $157.86 / $266.63	Professional		$118.23	$157.86	$266.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $25.26 / $49.56	Professional	26	$16.26	$25.26	$49.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.89 / $134.74 / $220.05	Professional	TC	$94.89	$134.74	$220.05