Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $87.10 / $112.20	Facility	26	$41.69	$87.10	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $147.91	Professional		$79.43	$89.13	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $44.67 / $67.61	Professional	26	$39.81	$44.67	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $42.66 / $60.26	Professional	TC	$37.15	$42.66	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $87.10	Professional		$64.57	$81.28	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $97.72 / $169.82	Professional		$38.90	$97.72	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $64.57 / $97.72	Professional	26	$46.77	$64.57	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $54.95 / $87.10	Professional	TC	$38.02	$54.95	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $186.21	Professional		$72.44	$100.00	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $57.54 / $95.50	Professional	26	$43.65	$57.54	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $44.67 / $83.18	Professional	TC	$24.55	$44.67	$83.18
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	26	$281.84	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $707.95	Professional		$562.34	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $316.23 / $346.74 / $346.74	Professional	26	$316.23	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $363.08 / $363.08	Professional	TC	$316.23	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $158.49	Professional		$69.18	$95.50	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $53.70 / $89.13	Professional	26	$40.74	$53.70	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $41.69 / $72.44	Professional	TC	$24.55	$41.69	$72.44