Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $549.54	Facility		$275.42	$549.54	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $107.15 / $107.15	Facility	26	$85.11	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $380.19	Professional		$57.54	$85.11	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $47.86 / $134.90	Professional	26	$33.11	$47.86	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $169.82	Professional	TC	$25.70	$33.88	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $52.48	Professional		$28.84	$35.48	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $42.66 / $44.67	Professional	26	$39.81	$42.66	$44.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $15.14 / $22.91	Professional	TC	$12.02	$15.14	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $2,137.96	Facility		$724.44	$1,513.56	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $302.00	Professional		$67.61	$104.71	$302.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $60.26 / $125.89	Professional	26	$38.02	$60.26	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $46.77 / $181.97	Professional	TC	$28.18	$46.77	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $316.23	Professional		$64.57	$128.82	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $70.79 / $134.90	Professional	26	$37.15	$70.79	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $54.95 / $199.53	Professional	TC	$28.18	$54.95	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $2,951.21 / $2,951.21	Facility		$54.95	$2,951.21	$2,951.21
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	26	$323.59	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,318.26	Professional		$1,174.90	$1,174.90	$1,318.26
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	26	$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $870.96 / $870.96 / $870.96	Professional	TC	$870.96	$870.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $812.83 / $2,511.89	Facility		$295.12	$812.83	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $295.12	Professional		$61.66	$128.82	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $70.79 / $117.49	Professional	26	$36.31	$70.79	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $52.48 / $177.83	Professional	TC	$26.92	$52.48	$177.83