Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $97.72 / $288.40	Facility	26	$72.44	$97.72	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $512.86	Professional		$154.88	$275.42	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $83.18 / $204.17	Professional	26	$51.29	$83.18	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $181.97 / $338.84	Professional	TC	$100.00	$181.97	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $134.90 / $281.84	Professional		$54.95	$134.90	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $100.00	Professional	26	$39.81	$50.12	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $436.52	Professional		$134.90	$190.55	$436.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $89.13 / $134.90	Professional	26	$53.70	$89.13	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $190.55 / $354.81	Professional	TC	$97.72	$190.55	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	26	$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $467.74	Professional		$141.25	$288.40	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $77.62 / $134.90	Professional	26	$46.77	$77.62	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $204.17 / $346.74	Professional	TC	$93.33	$204.17	$346.74
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 $1,621.81 / $1,621.81 / $1,698.24	Professional		$1,621.81	$1,621.81	$1,698.24
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $389.05 / $426.58 / $426.58	Professional	26	$389.05	$426.58	$426.58
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional	TC	$2,041.74	$2,041.74	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $407.38	Professional		$154.88	$251.19	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $67.61 / $112.20	Professional	26	$53.70	$67.61	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $165.96 / $281.84	Professional	TC	$100.00	$165.96	$281.84