Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $97.72 / $354.81	Facility	26	$54.95	$97.72	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $524.81	Professional		$173.78	$275.42	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $199.53	Professional	26	$52.48	$85.11	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $218.78 / $389.05	Professional	TC	$123.03	$218.78	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $275.42	Professional		$128.82	$177.83	$275.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $123.03	Professional	26	$39.81	$50.12	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $562.34	Professional		$186.21	$269.15	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $95.50 / $158.49	Professional	26	$60.26	$95.50	$158.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $281.84 / $457.09	Professional	TC	$162.18	$281.84	$457.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $562.34	Professional		$186.21	$331.13	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $83.18 / $144.54	Professional	26	$50.12	$83.18	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $251.19 / $426.58	Professional	TC	$138.04	$251.19	$426.58
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,949.84	Professional		$1,659.59	$1,659.59	$1,949.84
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $426.58 / $562.34	Professional	26	$426.58	$426.58	$562.34
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,348.96 / $1,348.96 / $1,548.82	Professional	TC	$1,348.96	$1,348.96	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $467.74	Professional		$208.93	$302.00	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $72.44 / $114.82	Professional	26	$53.70	$72.44	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $218.78 / $354.81	Professional	TC	$151.36	$218.78	$354.81