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 / $292.37	Facility	26	$55.00	$98.00	$292.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $275.00 / $328.00	Professional		$164.16	$275.00	$328.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $55.00 / $102.32	Professional	26	$51.30	$55.00	$102.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.22 / $220.00 / $227.00	Professional	TC	$106.22	$220.00	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $56.33	Professional		$56.33	$56.33	$56.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.11 / $99.52 / $99.52	Professional	26	$41.11	$99.52	$99.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $272.44 / $406.77	Professional		$126.72	$272.44	$406.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.78 / $82.88 / $130.94	Professional	26	$49.78	$82.88	$130.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.35 / $184.12 / $297.72	Professional	TC	$87.35	$184.12	$297.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.69 / $55.69 / $61.34	Facility	26	$55.69	$55.69	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $269.49 / $450.60	Professional		$128.00	$269.49	$450.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.57 / $78.40 / $126.25	Professional	26	$45.57	$78.40	$126.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.06 / $185.86 / $321.35	Professional	TC	$83.06	$185.86	$321.35
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $488.64 / $488.64 / $502.08	Facility	26	$488.64	$488.64	$502.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,547.04 / $1,593.45 / $1,593.45	Professional		$1,547.04	$1,593.45	$1,593.45
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $363.24 / $363.24 / $428.03	Professional	26	$363.24	$363.24	$428.03
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,263.33 / $1,301.23 / $1,301.23	Professional	TC	$1,263.33	$1,301.23	$1,301.23
United Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $244.48 / $364.43	Professional		$151.94	$244.48	$364.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.12 / $66.36 / $116.43	Professional	26	$53.12	$66.36	$116.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.12 / $164.31 / $254.10	Professional	TC	$97.12	$164.31	$254.10