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 / $262.06	Facility	26	$55.00	$98.00	$262.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $275.00 / $419.88	Professional		$167.74	$275.00	$419.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $59.49 / $145.55	Professional	26	$55.00	$59.49	$145.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.48 / $220.00 / $286.00	Professional	TC	$110.48	$220.00	$286.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $279.92 / $279.92	Professional		$80.73	$279.92	$279.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.45 / $57.20 / $122.73	Professional	26	$39.45	$57.20	$122.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $170.98 / $170.98 / $170.98	Professional	TC	$170.98	$170.98	$170.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $296.19 / $474.70	Professional		$136.66	$296.19	$474.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.66 / $87.35 / $134.32	Professional	26	$50.66	$87.35	$134.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.38 / $195.76 / $355.53	Professional	TC	$97.38	$195.76	$355.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.17 / $55.17 / $60.98	Facility	26	$55.17	$55.17	$60.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $288.32 / $468.76	Professional		$132.62	$288.32	$468.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.59 / $81.11 / $131.38	Professional	26	$46.59	$81.11	$131.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.19 / $201.01 / $346.42	Professional	TC	$86.19	$201.01	$346.42
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $488.64 / $488.64 / $498.88	Facility	26	$488.64	$488.64	$498.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,638.97 / $1,708.01 / $1,708.01	Professional		$1,638.97	$1,708.01	$1,708.01
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $384.71 / $384.71 / $428.03	Professional	26	$384.71	$384.71	$428.03
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,023.00 / $2,023.00 / $2,023.00	Professional	TC	$2,023.00	$2,023.00	$2,023.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $261.07 / $406.30	Professional		$155.88	$261.07	$406.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.85 / $68.28 / $116.43	Professional	26	$54.85	$68.28	$116.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.69 / $170.36 / $281.12	Professional	TC	$100.69	$170.36	$281.12