Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.73 / $44.04 / $113.35	Facility	26	$42.73	$44.04	$113.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $87.27 / $138.52	Professional		$75.52	$87.27	$138.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $45.98 / $65.16	Professional	26	$40.11	$45.98	$65.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.71 / $41.17 / $63.20	Professional	TC	$36.71	$41.17	$63.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $70.29 / $70.29	Professional		$70.29	$70.29	$70.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $107.02 / $171.22	Professional		$75.62	$107.02	$171.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.26 / $58.98 / $90.07	Professional	26	$42.26	$58.98	$90.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.93 / $51.41 / $80.54	Professional	TC	$34.93	$51.41	$80.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $105.39 / $194.51	Professional		$77.56	$105.39	$194.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.23 / $58.82 / $104.53	Professional	26	$44.23	$58.82	$104.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.01 / $47.46 / $97.15	Professional	TC	$26.01	$47.46	$97.15
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $102.35 / $215.13 / $215.13	Facility	26	$102.35	$215.13	$215.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $567.30 / $567.30 / $715.35	Professional		$567.30	$567.30	$715.35
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $318.67 / $318.67 / $349.28	Professional	26	$318.67	$318.67	$349.28
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $318.67 / $318.67 / $366.08	Professional	TC	$318.67	$318.67	$366.08
United Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $97.74 / $179.92	Professional		$69.48	$97.74	$179.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.19 / $54.20 / $94.09	Professional	26	$41.19	$54.20	$94.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.47 / $45.28 / $77.56	Professional	TC	$30.47	$45.28	$77.56