Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $2,303.00 / $7,602.00	Facility		$575.00	$2,303.00	$7,602.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.60 / $169.48 / $348.46	Facility	26	$122.60	$169.48	$348.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $476.61 / $798.47	Professional		$341.43	$476.61	$798.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.60 / $142.63 / $283.87	Professional	26	$122.60	$142.63	$283.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.11 / $284.24 / $441.85	Professional	TC	$214.11	$284.24	$441.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.77 / $316.77 / $427.64	Professional		$316.77	$316.77	$427.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,480.00 / $2,244.00	Facility		$764.00	$1,480.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.21 / $426.35 / $783.76	Professional		$329.21	$426.35	$783.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.36 / $162.41 / $277.75	Professional	26	$119.36	$162.41	$277.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $205.80 / $273.11 / $527.30	Professional	TC	$205.80	$273.11	$527.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.67 / $496.45 / $748.71	Professional		$358.67	$496.45	$748.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $130.27 / $179.76 / $278.11	Professional	26	$130.27	$179.76	$278.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $232.59 / $311.74 / $471.43	Professional	TC	$232.59	$311.74	$471.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,649.63 / $1,891.36	Facility		$55.00	$1,649.63	$1,891.36
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $289.62 / $603.96 / $603.96	Facility	26	$289.62	$603.96	$603.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,582.80 / $2,844.40 / $3,019.05	Professional		$2,582.80	$2,844.40	$3,019.05
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $908.96 / $930.32 / $1,026.90	Professional	26	$908.96	$930.32	$1,026.90
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,745.64 / $1,914.08 / $1,992.15	Professional	TC	$1,745.64	$1,914.08	$1,992.15
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,560.00 / $2,914.00	Facility		$719.00	$1,560.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.95 / $490.64 / $798.08	Professional		$336.95	$490.64	$798.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.93 / $192.68 / $294.98	Professional	26	$123.93	$192.68	$294.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.95 / $316.85 / $515.97	Professional	TC	$204.95	$316.85	$515.97