Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.25 / $195.94 / $287.76	Facility	26	$101.25	$195.94	$287.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.81 / $453.41 / $1,445.42	Professional		$339.81	$453.41	$1,445.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.53 / $129.04 / $418.82	Professional	26	$101.53	$129.04	$418.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $186.01 / $297.13 / $326.69	Professional	52	$186.01	$297.13	$326.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $283.88 / $446.69	Professional	TC	$206.93	$283.88	$446.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $111.54 / $111.54 / $111.54	Professional	26	$111.54	$111.54	$111.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.98 / $394.07 / $738.43	Professional		$304.98	$394.07	$738.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.20 / $134.61 / $231.11	Professional	26	$98.20	$134.61	$231.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.43 / $267.98 / $526.65	Professional	TC	$201.43	$267.98	$526.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.90 / $467.25 / $693.40	Professional		$330.90	$467.25	$693.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.89 / $150.77 / $230.34	Professional	26	$107.89	$150.77	$230.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $232.59 / $311.80 / $467.10	Professional	TC	$232.59	$311.80	$467.10
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $240.28 / $498.13 / $498.13	Facility	26	$240.28	$498.13	$498.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,444.00 / $2,698.08 / $2,846.03	Professional		$2,444.00	$2,698.08	$2,846.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $752.32 / $770.56 / $835.28	Professional	26	$752.32	$770.56	$835.28
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,747.81 / $1,927.52 / $2,010.75	Professional	TC	$1,747.81	$1,927.52	$2,010.75
United Facility/Professional Professional Modifier Low / Median / High Price $307.20 / $459.62 / $747.62	Professional		$307.20	$459.62	$747.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.09 / $144.12 / $234.79	Professional	26	$98.09	$144.12	$234.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.04 / $314.89 / $548.01	Professional	TC	$199.04	$314.89	$548.01