Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.31 / $59.07 / $152.02	Facility	26	$57.31	$59.07	$152.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $132.19 / $223.06	Professional		$109.12	$132.19	$223.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.53 / $63.16 / $90.87	Professional	26	$54.53	$63.16	$90.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.86 / $63.79 / $125.43	Professional	TC	$52.86	$63.79	$125.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $93.78 / $93.78	Professional		$89.31	$93.78	$93.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $171.62 / $268.23	Professional		$101.47	$171.62	$268.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.34 / $78.34 / $120.22	Professional	26	$53.34	$78.34	$120.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.06 / $85.16 / $146.01	Professional	TC	$49.06	$85.16	$146.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.87 / $67.87 / $67.87	Facility	26	$67.87	$67.87	$67.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.72 / $173.58 / $286.33	Professional		$113.72	$173.58	$286.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.89 / $76.59 / $133.22	Professional	26	$57.89	$76.59	$133.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.88 / $85.47 / $168.53	Professional	TC	$53.88	$85.47	$168.53
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $139.35 / $352.88 / $352.88	Facility	26	$139.35	$352.88	$352.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.47 / $1,060.27 / $1,089.32	Professional		$1,010.47	$1,060.27	$1,089.32
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $369.36 / $369.36 / $471.98	Professional	26	$369.36	$369.36	$471.98
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $681.15 / $707.89 / $727.29	Professional	TC	$681.15	$707.89	$727.29
United Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $172.26 / $271.60	Professional		$114.79	$172.26	$271.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $73.34 / $130.41	Professional	26	$56.84	$73.34	$130.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.21 / $88.16 / $150.88	Professional	TC	$55.21	$88.16	$150.88