Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $99.54 / $450.19	Facility	26	$55.00	$99.54	$450.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.41 / $328.00 / $572.61	Professional		$269.41	$328.00	$572.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $85.63 / $227.38	Professional	26	$55.00	$85.63	$227.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.13 / $227.00 / $380.79	Professional	TC	$187.13	$227.00	$380.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.15 / $235.62 / $489.56	Professional		$153.15	$235.62	$489.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.02 / $88.48 / $154.33	Professional	26	$61.02	$88.48	$154.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $137.91 / $137.91 / $239.03	Professional	TC	$137.91	$137.91	$239.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.86 / $509.55 / $925.33	Professional		$242.86	$509.55	$925.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.68 / $128.52 / $201.35	Professional	26	$78.68	$128.52	$201.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $180.64 / $361.65 / $784.97	Professional	TC	$180.64	$361.65	$784.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.75 / $85.75 / $94.56	Facility	26	$85.75	$85.75	$94.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.89 / $511.96 / $839.22	Professional		$243.89	$511.96	$839.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.27 / $120.65 / $192.41	Professional	26	$70.27	$120.65	$192.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.94 / $371.13 / $657.37	Professional	TC	$169.94	$371.13	$657.37
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $755.84 / $755.84 / $773.84	Facility	26	$755.84	$755.84	$773.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,893.96 / $3,234.12 / $3,234.12	Professional		$2,893.96	$3,234.12	$3,234.12
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $559.72 / $559.72 / $662.48	Professional	26	$559.72	$559.72	$662.48
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,441.41 / $2,749.60 / $2,752.56	Professional	TC	$2,441.41	$2,749.60	$2,752.56
United Facility/Professional Professional Modifier Low / Median / High Price $275.27 / $448.77 / $737.81	Professional		$275.27	$448.77	$737.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.24 / $102.64 / $196.24	Professional	26	$83.24	$102.64	$196.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.67 / $333.94 / $551.80	Professional	TC	$190.67	$333.94	$551.80