Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $100.00 / $416.87	Facility	26	$97.72	$100.00	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $588.84	Professional		$213.80	$295.12	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $190.55	Professional	26	$54.95	$89.13	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $218.78 / $371.54	Professional	TC	$144.54	$218.78	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $338.84	Professional		$144.54	$218.78	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $120.23	Professional	26	$56.23	$70.79	$120.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $588.84	Professional		$199.53	$288.40	$588.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $109.65 / $190.55	Professional	26	$70.79	$109.65	$190.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $309.03 / $467.74	Professional	TC	$173.78	$309.03	$467.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $588.84	Professional		$204.17	$363.08	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $100.00 / $173.78	Professional	26	$64.57	$100.00	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $275.42 / $446.68	Professional	TC	$138.04	$275.42	$446.68
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	26	$691.83	$691.83	$691.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,041.74	Professional		$1,995.26	$1,995.26	$2,041.74
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $489.78 / $616.60 / $616.60	Professional	26	$489.78	$616.60	$616.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional	TC	$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $512.86	Professional		$229.09	$338.84	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $158.49	Professional	26	$69.18	$85.11	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $239.88 / $363.08	Professional	TC	$147.91	$239.88	$363.08