Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.61 / $36.70 / $94.46	Facility	26	$35.61	$36.70	$94.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $273.08 / $417.48	Professional		$234.70	$273.08	$417.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $39.00 / $56.38	Professional	26	$34.96	$39.00	$56.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.05 / $234.40 / $361.09	Professional	TC	$199.05	$234.40	$361.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.46 / $35.46 / $86.55	Professional	26	$35.46	$35.46	$86.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.27 / $316.08 / $492.85	Professional		$216.27	$316.08	$492.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.64 / $48.07 / $73.84	Professional	26	$32.64	$48.07	$73.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.18 / $271.29 / $423.62	Professional	TC	$186.18	$271.29	$423.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.98 / $42.98 / $42.98	Facility	26	$42.98	$42.98	$42.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.62 / $310.77 / $536.80	Professional		$233.62	$310.77	$536.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.19 / $47.56 / $82.48	Professional	26	$36.19	$47.56	$82.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.43 / $263.20 / $453.42	Professional	TC	$197.43	$263.20	$453.42
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $86.46 / $178.55 / $178.55	Facility	26	$86.46	$178.55	$178.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,627.28 / $1,627.28 / $2,088.23	Professional		$1,627.28	$1,627.28	$2,088.23
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $234.31 / $234.31 / $315.52	Professional	26	$234.31	$234.31	$315.52
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,392.98 / $1,392.98 / $1,772.70	Professional	TC	$1,392.98	$1,392.98	$1,772.70
United Facility/Professional Professional Modifier Low / Median / High Price $241.72 / $299.16 / $525.79	Professional		$241.72	$299.16	$525.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.24 / $45.82 / $80.93	Professional	26	$35.24	$45.82	$80.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.24 / $257.58 / $453.11	Professional	TC	$197.24	$257.58	$453.11