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 / $337.16	Facility	26	$55.00	$98.00	$337.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.41 / $275.00 / $444.84	Professional		$230.41	$275.00	$444.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $62.29 / $116.54	Professional	26	$55.00	$62.29	$116.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.12 / $220.00 / $306.26	Professional	TC	$168.12	$220.00	$306.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $498.44 / $498.44 / $498.44	Professional		$498.44	$498.44	$498.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.97 / $99.32 / $137.43	Professional	26	$54.97	$99.32	$137.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.04 / $453.08 / $653.49	Professional		$213.04	$453.08	$653.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.87 / $102.38 / $166.05	Professional	26	$60.87	$102.38	$166.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.99 / $344.32 / $504.03	Professional	TC	$169.99	$344.32	$504.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $70.98	Facility	26	$68.70	$68.70	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.25 / $388.44 / $640.82	Professional		$187.25	$388.44	$640.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.12 / $94.73 / $159.29	Professional	26	$54.12	$94.73	$159.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $150.66 / $296.77 / $481.90	Professional	TC	$150.66	$296.77	$481.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $546.72 / $546.72 / $561.91	Facility	26	$546.72	$546.72	$561.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,999.32 / $2,220.23 / $2,220.23	Professional		$1,999.32	$2,220.23	$2,220.23
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $479.55 / $590.91 / $590.91	Professional	26	$479.55	$590.91	$590.91
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,624.23 / $1,822.59 / $1,825.48	Professional	TC	$1,624.23	$1,822.59	$1,825.48
United Facility/Professional Professional Modifier Low / Median / High Price $229.24 / $346.14 / $547.07	Professional		$229.24	$346.14	$547.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.37 / $76.43 / $133.74	Professional	26	$61.37	$76.43	$133.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.41 / $257.27 / $413.70	Professional	TC	$167.41	$257.27	$413.70