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 / $296.20	Facility	26	$55.00	$98.00	$296.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.95 / $281.67 / $405.04	Professional		$191.95	$281.67	$405.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $62.64 / $127.98	Professional	26	$55.00	$62.64	$127.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.19 / $220.00 / $282.38	Professional	TC	$127.19	$220.00	$282.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $269.45 / $318.58	Professional		$131.50	$269.45	$318.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.37 / $69.34 / $138.13	Professional	26	$44.37	$69.34	$138.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $102.94 / $102.94 / $102.94	Professional	TC	$102.94	$102.94	$102.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $312.64 / $478.51	Professional		$148.86	$312.64	$478.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.70 / $93.60 / $147.88	Professional	26	$56.70	$93.60	$147.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.14 / $213.10 / $360.20	Professional	TC	$107.14	$213.10	$360.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.36 / $62.36 / $69.05	Facility	26	$62.36	$62.36	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $316.30 / $529.41	Professional		$150.31	$316.30	$529.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.27 / $89.01 / $141.35	Professional	26	$51.27	$89.01	$141.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.98 / $226.42 / $392.60	Professional	TC	$98.98	$226.42	$392.60
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $549.76 / $549.76 / $565.04	Facility	26	$549.76	$549.76	$565.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.57 / $1,954.49 / $1,954.49	Professional		$1,897.57	$1,954.49	$1,954.49
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $435.88 / $435.88 / $482.33	Professional	26	$435.88	$435.88	$482.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,600.00 / $1,624.23 / $1,624.23	Professional	TC	$1,600.00	$1,624.23	$1,624.23
United Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $286.42 / $427.15	Professional		$177.90	$286.42	$427.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.77 / $74.48 / $125.55	Professional	26	$59.77	$74.48	$125.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.75 / $187.14 / $301.10	Professional	TC	$115.75	$187.14	$301.10