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 / $297.92	Facility	26	$55.00	$98.00	$297.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.95 / $275.00 / $402.24	Professional		$164.95	$275.00	$402.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $61.96 / $118.50	Professional	26	$55.00	$61.96	$118.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.82 / $207.11 / $227.00	Professional	TC	$99.82	$207.11	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $176.75 / $320.39	Professional		$79.87	$176.75	$320.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.68 / $65.05 / $139.63	Professional	26	$44.68	$65.05	$139.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.33 / $294.24 / $421.94	Professional		$140.33	$294.24	$421.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.48 / $94.10 / $148.74	Professional	26	$57.48	$94.10	$148.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.76 / $193.58 / $283.92	Professional	TC	$96.76	$193.58	$283.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.72 / $62.72 / $69.44	Facility	26	$62.72	$62.72	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $262.77 / $418.45	Professional		$133.35	$262.77	$418.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.57 / $89.51 / $142.76	Professional	26	$51.57	$89.51	$142.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.43 / $179.20 / $291.24	Professional	TC	$81.43	$179.20	$291.24
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $555.91 / $555.91 / $568.24	Facility	26	$555.91	$555.91	$568.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.43 / $1,417.13 / $1,417.13	Professional		$1,403.43	$1,417.13	$1,417.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $384.88 / $384.88 / $487.80	Professional	26	$384.88	$384.88	$487.80
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,332.00 / $1,332.00 / $1,332.00	Professional	TC	$1,332.00	$1,332.00	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $243.32 / $361.64	Professional		$155.38	$243.32	$361.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.08 / $75.41 / $132.31	Professional	26	$61.08	$75.41	$132.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.19 / $154.38 / $242.28	Professional	TC	$92.19	$154.38	$242.28