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 / $322.10	Facility	26	$55.00	$98.00	$322.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.35 / $281.16 / $514.25	Professional		$203.35	$281.16	$514.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $70.47 / $181.93	Professional	26	$55.00	$70.47	$181.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.87 / $220.00 / $286.00	Professional	TC	$132.87	$220.00	$286.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.01 / $200.90 / $390.51	Professional		$180.01	$200.90	$390.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.15 / $69.81 / $149.78	Professional	26	$48.15	$69.81	$149.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.98 / $53.98 / $158.78	Professional	TC	$53.98	$53.98	$158.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $351.99 / $513.57	Professional		$167.19	$351.99	$513.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.02 / $103.55 / $164.83	Professional	26	$62.02	$103.55	$164.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $127.96 / $258.98 / $366.38	Professional	TC	$127.96	$258.98	$366.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.81 / $67.81 / $74.84	Facility	26	$67.81	$67.81	$74.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.85 / $311.31 / $497.57	Professional		$162.85	$311.31	$497.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.64 / $96.45 / $153.72	Professional	26	$55.64	$96.45	$153.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.90 / $227.00 / $362.21	Professional	TC	$107.90	$227.00	$362.21
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $596.24 / $596.24 / $612.88	Facility	26	$596.24	$596.24	$612.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.47 / $1,680.90 / $1,680.90	Professional		$1,657.47	$1,680.90	$1,680.90
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $414.94 / $414.94 / $522.08	Professional	26	$414.94	$414.94	$522.08
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,425.00 / $1,425.00 / $1,425.00	Professional	TC	$1,425.00	$1,425.00	$1,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $282.83 / $446.18	Professional		$188.67	$282.83	$446.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.78 / $78.48 / $141.47	Professional	26	$63.78	$78.48	$141.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.35 / $206.21 / $304.77	Professional	TC	$123.35	$206.21	$304.77