Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.20 / $47.60 / $114.60	Facility	26	$43.20	$47.60	$114.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $111.18 / $461.92	Professional		$84.00	$111.18	$461.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.08 / $50.34 / $107.64	Professional	26	$42.08	$50.34	$107.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.07 / $279.00 / $434.06	Professional	50	$172.07	$279.00	$434.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $52.38 / $85.15	Professional	TC	$40.17	$52.38	$85.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $92.07 / $153.97	Professional		$77.84	$92.07	$153.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.10 / $62.87 / $80.45	Professional	26	$41.10	$62.87	$80.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $116.84 / $178.89	Professional		$86.14	$116.84	$178.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.44 / $58.38 / $87.28	Professional	26	$41.44	$58.38	$87.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.37 / $60.61 / $98.36	Professional	TC	$43.37	$60.61	$98.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $123.99 / $213.24	Professional		$88.52	$123.99	$213.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.05 / $60.87 / $107.99	Professional	26	$45.05	$60.87	$107.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.39 / $60.78 / $112.97	Professional	TC	$43.39	$60.78	$112.97
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $103.27 / $221.59 / $221.59	Facility	26	$103.27	$221.59	$221.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $641.76 / $641.76 / $774.53	Professional		$641.76	$641.76	$774.53
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $283.72 / $283.72 / $358.73	Professional	26	$283.72	$283.72	$358.73
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $358.05 / $358.05 / $415.80	Professional	TC	$358.05	$358.05	$415.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $114.75 / $202.79	Professional		$83.72	$114.75	$202.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.31 / $55.37 / $103.57	Professional	26	$40.31	$55.37	$103.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.58 / $53.05 / $101.96	Professional	TC	$41.58	$53.05	$101.96