Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $354.81 / $380.19	Facility	26	$109.65	$354.81	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $851.14	Professional		$275.42	$446.68	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $117.49 / $223.87	Professional	26	$70.79	$117.49	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $338.84 / $549.54	Professional	TC	$204.17	$338.84	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $109.65	Professional	26	$51.29	$64.57	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $707.95	Professional		$229.09	$354.81	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $112.20 / $177.83	Professional	26	$69.18	$112.20	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $389.05 / $602.56	Professional	TC	$218.78	$389.05	$602.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $758.58	Professional		$257.04	$467.74	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $97.72 / $173.78	Professional	26	$60.26	$97.72	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $371.54 / $616.60	Professional	TC	$190.55	$371.54	$616.60
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	26	$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $549.54 / $562.34 / $562.34	Professional	26	$549.54	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional	TC	$2,570.40	$2,570.40	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $645.65	Professional		$281.84	$436.52	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $83.18 / $144.54	Professional	26	$67.61	$83.18	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $323.59 / $489.78	Professional	TC	$213.80	$323.59	$489.78