Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $208.93	Facility	26	$112.20	$112.20	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $549.54	Professional		$162.18	$213.80	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $120.23 / $275.42	Professional	26	$95.50	$120.23	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $81.28 / $144.54	Professional	TC	$67.61	$81.28	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $245.47	Professional		$147.91	$173.78	$245.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $131.83 / $173.78	Professional	26	$97.72	$131.83	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $218.78 / $371.54	Professional		$69.18	$218.78	$371.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $154.88 / $229.09	Professional	26	$112.20	$154.88	$229.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $112.20 / $165.96	Professional	TC	$81.28	$112.20	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $389.05	Professional		$173.78	$234.42	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $138.04 / $229.09	Professional	26	$104.71	$138.04	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $100.00 / $162.18	Professional	TC	$69.18	$100.00	$162.18
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,412.54	Professional		$1,148.15	$1,412.54	$1,412.54
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $660.69 / $831.76 / $831.76	Professional	26	$660.69	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $478.63 / $588.84 / $588.84	Professional	TC	$478.63	$588.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $371.54	Professional		$169.82	$223.87	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $128.82 / $218.78	Professional	26	$97.72	$128.82	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $93.33 / $158.49	Professional	TC	$72.44	$93.33	$158.49