Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $98.00 / $218.66	Facility	26	$55.00	$98.00	$218.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $223.26 / $329.69	Professional		$116.10	$223.26	$329.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $55.00 / $121.50	Professional	26	$36.46	$55.00	$121.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.81 / $167.19 / $227.00	Professional	TC	$72.81	$167.19	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $159.19 / $193.18	Professional		$77.19	$159.19	$193.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $40.90 / $74.92	Professional	26	$29.75	$40.90	$74.92
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $47.44 / $88.95 / $112.15	Professional	TC	$47.44	$88.95	$112.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.13 / $194.61 / $301.24	Professional		$90.13	$194.61	$301.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.88 / $62.67 / $101.53	Professional	26	$37.88	$62.67	$101.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.18 / $129.47 / $221.45	Professional	TC	$64.18	$129.47	$221.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $45.92	Facility	26	$41.65	$41.65	$45.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $200.64 / $352.97	Professional		$91.88	$200.64	$352.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.17 / $59.17 / $96.59	Professional	26	$34.17	$59.17	$96.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.16 / $132.86 / $259.05	Professional	TC	$58.16	$132.86	$259.05
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $368.56 / $368.56 / $376.16	Facility	26	$368.56	$368.56	$376.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.82 / $1,305.85 / $1,305.85	Professional		$1,267.82	$1,305.85	$1,305.85
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $315.37 / $315.37 / $323.39	Professional	26	$315.37	$315.37	$323.39
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,108.00 / $1,108.00 / $1,108.00	Professional	TC	$1,108.00	$1,108.00	$1,108.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.91 / $180.38 / $283.83	Professional		$107.91	$180.38	$283.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.18 / $49.96 / $87.65	Professional	26	$40.18	$49.96	$87.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.01 / $113.53 / $183.83	Professional	TC	$67.01	$113.53	$183.83