Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $147.00 / $327.39	Facility	26	$55.00	$147.00	$327.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.14 / $275.00 / $448.05	Professional		$201.14	$275.00	$448.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $61.28 / $98.00	Professional	26	$55.00	$61.28	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.85 / $220.00 / $288.44	Professional	TC	$138.85	$220.00	$288.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.23 / $182.23 / $182.23	Professional		$182.23	$182.23	$182.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.68 / $46.09 / $68.98	Professional	26	$43.68	$46.09	$68.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $359.86 / $578.77	Professional		$169.44	$359.86	$578.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.71 / $98.01 / $148.34	Professional	26	$57.71	$98.01	$148.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.95 / $257.39 / $451.53	Professional	TC	$123.95	$257.39	$451.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.36 / $62.36 / $68.70	Facility	26	$62.36	$62.36	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $351.18 / $563.03	Professional		$161.81	$351.18	$563.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.38 / $91.67 / $146.63	Professional	26	$52.38	$91.67	$146.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.92 / $254.38 / $428.80	Professional	TC	$108.92	$254.38	$428.80
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 $1,989.67 / $2,075.08 / $2,075.08	Professional		$1,989.67	$2,075.08	$2,075.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $460.66 / $460.66 / $479.55	Professional	26	$460.66	$460.66	$479.55
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,624.23 / $1,685.33 / $1,726.78	Professional	TC	$1,624.23	$1,685.33	$1,726.78
United Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $311.73 / $491.48	Professional		$190.25	$311.73	$491.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.51 / $74.58 / $129.91	Professional	26	$61.51	$74.58	$129.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.65 / $216.03 / $344.14	Professional	TC	$127.65	$216.03	$344.14