Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.16 / $85.03 / $204.67	Facility	26	$77.16	$85.03	$204.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $163.31 / $265.62	Professional		$130.08	$163.31	$265.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.72 / $83.62 / $124.46	Professional	26	$72.72	$83.62	$124.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $83.79 / $130.10	Professional	TC	$55.03	$83.79	$130.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.87 / $225.87 / $225.87	Professional		$225.87	$225.87	$225.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.31 / $143.80 / $143.80	Professional	26	$84.31	$143.80	$143.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.57 / $207.95 / $322.97	Professional		$143.57	$207.95	$322.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.29 / $103.87 / $161.40	Professional	26	$76.29	$103.87	$161.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.46 / $105.26 / $169.24	Professional	TC	$63.46	$105.26	$169.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.59 / $200.28 / $387.81	Professional		$133.59	$200.28	$387.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.30 / $106.40 / $189.82	Professional	26	$80.30	$106.40	$189.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.65 / $95.72 / $197.30	Professional	TC	$40.65	$95.72	$197.30
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $183.99 / $394.16 / $394.16	Facility	26	$183.99	$394.16	$394.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.48 / $1,053.48 / $1,277.48	Professional		$1,053.48	$1,053.48	$1,277.48
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $509.36 / $509.36 / $639.83	Professional	26	$509.36	$509.36	$639.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $544.05 / $544.05 / $637.65	Professional	TC	$544.05	$544.05	$637.65
United Facility/Professional Professional Modifier Low / Median / High Price $126.04 / $185.99 / $341.33	Professional		$126.04	$185.99	$341.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.65 / $98.82 / $170.54	Professional	26	$76.65	$98.82	$170.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.47 / $94.74 / $188.12	Professional	TC	$45.47	$94.74	$188.12