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 $114.82 / $138.04 / $281.84	Professional		$114.82	$138.04	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $45.71 / $81.28	Professional	26	$39.81	$45.71	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $85.11 / $144.54	Professional	TC	$72.44	$85.11	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $120.23	Professional		$87.10	$109.65	$120.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	26	$54.95	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $302.00	Professional		$128.82	$151.36	$302.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $66.07 / $100.00	Professional	26	$47.86	$66.07	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $123.03 / $309.03	Professional	TC	$87.10	$123.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $302.00	Professional		$114.82	$158.49	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $57.54 / $97.72	Professional	26	$44.67	$57.54	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $102.33 / $208.93	Professional	TC	$70.79	$102.33	$208.93
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 $954.99 / $977.24 / $977.24	Professional		$954.99	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $354.81 / $389.05	Professional	26	$354.81	$354.81	$389.05
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $776.25 / $776.25 / $776.25	Professional	TC	$776.25	$776.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $275.42	Professional		$107.15	$158.49	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $54.95 / $91.20	Professional	26	$41.69	$54.95	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $100.00 / $194.98	Professional	TC	$64.57	$100.00	$194.98