Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.69 / $58.41 / $111.94	Facility	26	$37.69	$58.41	$111.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.77 / $175.46 / $470.59	Professional		$131.77	$175.46	$470.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.86 / $50.00 / $111.00	Professional	26	$35.86	$50.00	$111.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.20 / $124.14 / $206.11	Professional	TC	$95.20	$124.14	$206.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $161.91 / $223.49	Professional		$111.19	$161.91	$223.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $38.17 / $86.48	Professional	26	$27.76	$38.17	$86.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $75.34 / $83.43 / $128.26	Professional	TC	$75.34	$83.43	$128.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.56 / $224.06 / $339.63	Professional		$135.56	$224.06	$339.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.58 / $59.70 / $93.64	Professional	26	$34.58	$59.70	$93.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.26 / $164.58 / $246.33	Professional	TC	$102.26	$164.58	$246.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.24 / $43.24 / $43.24	Facility	26	$43.24	$43.24	$43.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.30 / $214.81 / $357.20	Professional		$151.30	$214.81	$357.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.40 / $60.44 / $101.81	Professional	26	$37.40	$60.44	$101.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.40 / $159.74 / $271.79	Professional	TC	$112.40	$159.74	$271.79
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $88.37 / $251.76 / $251.76	Facility	26	$88.37	$251.76	$251.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.41 / $1,354.08 / $1,391.18	Professional		$1,241.41	$1,354.08	$1,391.18
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $315.36 / $335.64 / $344.84	Professional	26	$315.36	$335.64	$344.84
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $934.20 / $1,018.44 / $1,046.33	Professional	TC	$934.20	$1,018.44	$1,046.33
United Facility/Professional Professional Modifier Low / Median / High Price $150.71 / $206.91 / $349.92	Professional		$150.71	$206.91	$349.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.52 / $57.05 / $90.33	Professional	26	$37.52	$57.05	$90.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.59 / $150.76 / $264.61	Professional	TC	$112.59	$150.76	$264.61