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 / $407.31	Facility	26	$55.00	$98.00	$407.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $343.91 / $552.14	Professional		$275.00	$343.91	$552.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $85.63 / $192.03	Professional	26	$55.00	$85.63	$192.03
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 $202.99 / $243.33 / $388.77	Professional		$202.99	$243.33	$388.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.32 / $88.48 / $153.76	Professional	26	$61.32	$88.48	$153.76
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $119.51 / $137.68 / $137.68	Professional	TC	$119.51	$137.68	$137.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $501.26 / $937.05	Professional		$242.28	$501.26	$937.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.68 / $126.02 / $208.20	Professional	26	$78.68	$126.02	$208.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $180.02 / $360.41 / $786.03	Professional	TC	$180.02	$360.41	$786.03
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 $243.61 / $519.13 / $858.31	Professional		$243.61	$519.13	$858.31
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 $168.80 / $371.27 / $657.37	Professional	TC	$168.80	$371.27	$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 / $3,248.56 / $3,248.56	Professional		$2,893.96	$3,248.56	$3,248.56
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $662.48 / $880.00 / $880.00	Professional	26	$662.48	$880.00	$880.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,441.41 / $2,762.21 / $2,765.07	Professional	TC	$2,441.41	$2,762.21	$2,765.07
United Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $461.23 / $746.33	Professional		$274.95	$461.23	$746.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.24 / $102.64 / $180.08	Professional	26	$83.24	$102.64	$180.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.34 / $322.01 / $614.02	Professional	TC	$190.34	$322.01	$614.02