Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.16 / $278.44 / $530.38	Facility		$63.16	$278.44	$530.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.32 / $103.20 / $107.33	Facility	26	$36.32	$103.20	$107.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $94.07 / $276.79	Professional		$60.28	$94.07	$276.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.32 / $53.77 / $95.57	Professional	26	$36.32	$53.77	$95.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.84 / $37.11 / $154.18	Professional	TC	$26.84	$37.11	$154.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.78 / $39.78 / $39.78	Professional	26	$39.78	$39.78	$39.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.24 / $22.24 / $22.24	Professional	TC	$22.24	$22.24	$22.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,480.00 / $2,244.00	Facility		$778.00	$1,480.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $101.06 / $310.27	Professional		$58.95	$101.06	$310.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.89 / $58.13 / $124.07	Professional	26	$33.89	$58.13	$124.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.27 / $43.16 / $176.62	Professional	TC	$25.27	$43.16	$176.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $120.72 / $311.56	Professional		$66.50	$120.72	$311.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.72 / $67.06 / $126.13	Professional	26	$38.72	$67.06	$126.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.61 / $50.13 / $187.54	Professional	TC	$28.61	$50.13	$187.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,922.50 / $2,922.50	Facility		$55.00	$2,922.50	$2,922.50
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $133.40 / $323.94 / $323.94	Facility	26	$133.40	$323.94	$323.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.83 / $1,317.18 / $1,317.18	Professional		$1,172.83	$1,317.18	$1,317.18
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $638.00 / $638.00 / $638.00	Professional	26	$638.00	$638.00	$638.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $870.88 / $870.88 / $870.88	Professional	TC	$870.88	$870.88	$870.88
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $814.00 / $2,460.00	Facility		$294.00	$814.00	$2,460.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $128.63 / $298.33	Professional		$63.68	$128.63	$298.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.53 / $71.19 / $116.50	Professional	26	$36.53	$71.19	$116.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.63 / $54.12 / $171.74	Professional	TC	$26.63	$54.12	$171.74