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 / $322.10	Facility	26	$55.00	$98.00	$322.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.89 / $285.80 / $409.21	Professional		$206.89	$285.80	$409.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $63.15 / $139.54	Professional	26	$55.00	$63.15	$139.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.55 / $220.00 / $318.08	Professional	TC	$143.55	$220.00	$318.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.65 / $61.64 / $121.25	Professional	26	$39.65	$61.64	$121.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.87 / $397.64 / $585.47	Professional		$187.87	$397.64	$585.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.24 / $95.49 / $158.65	Professional	26	$56.24	$95.49	$158.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $149.84 / $309.24 / $451.20	Professional	TC	$149.84	$309.24	$451.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $67.81	Facility	26	$61.34	$61.34	$67.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $341.37 / $564.80	Professional		$161.03	$341.37	$564.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.37 / $90.20 / $146.40	Professional	26	$48.37	$90.20	$146.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.04 / $253.96 / $418.95	Professional	TC	$128.04	$253.96	$418.95
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 $1,657.47 / $1,940.92 / $1,940.92	Professional		$1,657.47	$1,940.92	$1,940.92
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $428.03 / $556.79 / $556.79	Professional	26	$428.03	$556.79	$556.79
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,335.80 / $1,561.11 / $1,561.11	Professional	TC	$1,335.80	$1,561.11	$1,561.11
United Facility/Professional Professional Modifier Low / Median / High Price $206.98 / $307.44 / $481.08	Professional		$206.98	$307.44	$481.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.14 / $72.36 / $129.87	Professional	26	$55.14	$72.36	$129.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.93 / $232.69 / $358.38	Professional	TC	$153.93	$232.69	$358.38