Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.67 / $111.36 / $378.32	Facility	26	$110.67	$111.36	$378.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.03 / $449.16 / $816.76	Professional		$340.03	$449.16	$816.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $111.36 / $154.00	Professional	26	$85.00	$111.36	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.17 / $335.00 / $370.63	Professional	TC	$250.17	$335.00	$370.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $528.84 / $528.84 / $528.84	Professional		$528.84	$528.84	$528.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.90 / $114.90 / $114.90	Professional	26	$114.90	$114.90	$114.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.25 / $493.44 / $727.65	Professional		$244.25	$493.44	$727.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.56 / $108.09 / $170.78	Professional	26	$65.56	$108.09	$170.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $203.52 / $392.48 / $596.05	Professional	TC	$203.52	$392.48	$596.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.06 / $72.06 / $79.91	Facility	26	$72.06	$72.06	$79.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $489.47 / $810.87	Professional		$233.30	$489.47	$810.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.33 / $102.95 / $163.33	Professional	26	$59.33	$102.95	$163.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $175.65 / $377.18 / $640.34	Professional	TC	$175.65	$377.18	$640.34
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $635.84 / $635.84 / $653.60	Facility	26	$635.84	$635.84	$653.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,872.81 / $2,958.99 / $2,958.99	Professional		$2,872.81	$2,958.99	$2,958.99
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $548.98 / $548.98 / $557.63	Professional	26	$548.98	$548.98	$557.63
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,498.98 / $2,573.94 / $2,573.94	Professional	TC	$2,498.98	$2,573.94	$2,573.94
United Facility/Professional Professional Modifier Low / Median / High Price $288.20 / $442.78 / $655.86	Professional		$288.20	$442.78	$655.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.73 / $86.83 / $151.58	Professional	26	$69.73	$86.83	$151.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.47 / $325.25 / $489.66	Professional	TC	$218.47	$325.25	$489.66