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 / $376.44	Facility	26	$55.00	$98.00	$376.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.01 / $287.39 / $450.00	Professional		$245.01	$287.39	$450.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $71.50 / $117.74	Professional	26	$55.00	$71.50	$117.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.84 / $220.00 / $321.75	Professional	TC	$161.84	$220.00	$321.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $343.20 / $343.20	Professional		$167.20	$343.20	$343.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.35 / $70.12 / $175.30	Professional	26	$56.35	$70.12	$175.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.52 / $419.41 / $604.47	Professional		$205.52	$419.41	$604.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.75 / $109.93 / $181.17	Professional	26	$67.75	$109.93	$181.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.59 / $319.77 / $462.71	Professional	TC	$158.59	$319.77	$462.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.25 / $79.25 / $87.25	Facility	26	$79.25	$79.25	$87.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.36 / $374.04 / $598.03	Professional		$195.36	$374.04	$598.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.55 / $108.86 / $173.60	Professional	26	$63.55	$108.86	$173.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.24 / $284.10 / $442.88	Professional	TC	$131.24	$284.10	$442.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $697.76 / $697.76 / $714.16	Facility	26	$697.76	$697.76	$714.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,997.15 / $2,036.01 / $2,036.01	Professional		$1,997.15	$2,036.01	$2,036.01
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $484.69 / $484.69 / $610.73	Professional	26	$484.69	$484.69	$610.73
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,005.00 / $2,005.00 / $2,005.00	Professional	TC	$2,005.00	$2,005.00	$2,005.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.67 / $332.92 / $525.64	Professional		$227.67	$332.92	$525.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.64 / $92.03 / $161.76	Professional	26	$72.64	$92.03	$161.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.13 / $248.49 / $385.23	Professional	TC	$148.13	$248.49	$385.23