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 / $199.36	Facility	26	$55.00	$98.00	$199.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $275.00 / $493.56	Professional		$144.63	$275.00	$493.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.29 / $55.00 / $119.03	Professional	26	$41.29	$55.00	$119.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $69.03 / $137.50 / $162.50	Professional	52	$69.03	$137.50	$162.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.27 / $217.98 / $286.00	Professional	TC	$96.27	$217.98	$286.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $149.91 / $232.09	Professional		$115.32	$149.91	$232.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.98 / $43.47 / $93.28	Professional	26	$29.98	$43.47	$93.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $240.27 / $395.18	Professional		$112.00	$240.27	$395.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $72.44 / $105.37	Professional	26	$38.79	$72.44	$105.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.72 / $169.56 / $290.44	Professional	TC	$81.72	$169.56	$290.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.97 / $41.97 / $46.27	Facility	26	$41.97	$41.97	$46.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $248.27 / $396.48	Professional		$111.49	$248.27	$396.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.28 / $65.91 / $111.06	Professional	26	$35.28	$65.91	$111.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.69 / $175.07 / $290.75	Professional	TC	$76.69	$175.07	$290.75
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $371.60 / $371.60 / $379.28	Facility	26	$371.60	$371.60	$379.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.07 / $1,413.47 / $1,413.47	Professional		$1,379.07	$1,413.47	$1,413.47
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $333.52 / $333.52 / $333.52	Professional	26	$333.52	$333.52	$333.52
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,220.00 / $1,220.00 / $1,220.00	Professional	TC	$1,220.00	$1,220.00	$1,220.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $216.77 / $341.63	Professional		$130.15	$216.77	$341.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.83 / $57.24 / $92.42	Professional	26	$41.83	$57.24	$92.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.09 / $146.16 / $240.75	Professional	TC	$88.09	$146.16	$240.75