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 / $297.92	Facility	26	$55.00	$98.00	$297.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.32 / $275.00 / $451.53	Professional		$176.32	$275.00	$451.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $62.99 / $135.72	Professional	26	$55.00	$62.99	$135.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.20 / $214.49 / $239.04	Professional	TC	$111.20	$214.49	$239.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.81 / $386.03 / $386.03	Professional		$120.81	$386.03	$386.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.86 / $78.51 / $139.63	Professional	26	$44.86	$78.51	$139.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.52 / $343.11 / $507.72	Professional		$163.52	$343.11	$507.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.48 / $93.59 / $152.51	Professional	26	$57.48	$93.59	$152.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $113.77 / $250.17 / $371.81	Professional	TC	$113.77	$250.17	$371.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.72 / $62.72 / $69.79	Facility	26	$62.72	$62.72	$69.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $293.93 / $483.84	Professional		$143.12	$293.93	$483.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $89.51 / $142.16	Professional	26	$51.84	$89.51	$142.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.04 / $210.68 / $342.88	Professional	TC	$102.04	$210.68	$342.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $555.91 / $555.91 / $571.36	Facility	26	$555.91	$555.91	$571.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,417.13 / $1,670.68 / $1,670.68	Professional		$1,417.13	$1,670.68	$1,670.68
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $487.80 / $520.49 / $520.49	Professional	26	$487.80	$520.49	$520.49
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,128.24 / $1,318.41 / $1,318.41	Professional	TC	$1,128.24	$1,318.41	$1,318.41
United Facility/Professional Professional Modifier Low / Median / High Price $189.30 / $271.18 / $422.55	Professional		$189.30	$271.18	$422.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.75 / $75.01 / $130.10	Professional	26	$60.75	$75.01	$130.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.69 / $196.94 / $301.57	Professional	TC	$125.69	$196.94	$301.57