Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.65 / $35.99 / $86.64	Facility	26	$32.65	$35.99	$86.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $98.28 / $194.61	Professional		$64.31	$98.28	$194.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.06 / $34.83 / $52.98	Professional	26	$31.06	$34.83	$52.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $65.25 / $117.35	Professional	TC	$33.03	$65.25	$117.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $112.00 / $202.54	Professional		$80.70	$112.00	$202.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.53 / $35.88 / $41.62	Professional	26	$29.53	$35.88	$41.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $107.69 / $176.99	Professional		$74.34	$107.69	$176.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.29 / $43.95 / $67.98	Professional	26	$32.29	$43.95	$67.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.04 / $66.34 / $116.93	Professional	TC	$37.04	$66.34	$116.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $107.71 / $229.67	Professional		$60.70	$107.71	$229.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.47 / $44.95 / $79.14	Professional	26	$33.47	$44.95	$79.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.63 / $65.95 / $154.00	Professional	TC	$22.63	$65.95	$154.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $78.13 / $167.77 / $167.77	Facility	26	$78.13	$167.77	$167.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $687.40 / $687.40 / $848.78	Professional		$687.40	$687.40	$848.78
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $224.56 / $224.56 / $273.38	Professional	26	$224.56	$224.56	$273.38
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $472.45 / $472.45 / $575.40	Professional	TC	$472.45	$472.45	$575.40
United Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $96.00 / $183.05	Professional		$55.58	$96.00	$183.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.99 / $41.28 / $75.20	Professional	26	$31.99	$41.28	$75.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $56.05 / $118.81	Professional	TC	$21.64	$56.05	$118.81