Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $107.15 / $446.68	Facility	26	$54.95	$107.15	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $758.58	Professional		$245.47	$346.74	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $89.13 / $245.47	Professional	26	$72.44	$89.13	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $223.87 / $446.68	Professional	TC	$158.49	$223.87	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $380.19	Professional		$120.23	$239.88	$380.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $81.28 / $154.88	Professional	26	$60.26	$81.28	$154.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $81.28 / $162.18	Professional	TC	$69.18	$81.28	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $851.14	Professional		$234.42	$338.84	$851.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $131.83 / $208.93	Professional	26	$81.28	$131.83	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $363.08 / $724.44	Professional	TC	$186.21	$363.08	$724.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $457.09 / $851.14	Professional		$251.19	$457.09	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $114.82 / $194.98	Professional	26	$72.44	$114.82	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $363.08 / $660.69	Professional	TC	$173.78	$363.08	$660.69
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $758.58 / $758.58 / $758.58	Facility	26	$758.58	$758.58	$758.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,235.94	Professional		$2,884.03	$2,884.03	$3,235.94
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $660.69 / $660.69 / $870.96	Professional	26	$660.69	$660.69	$870.96
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,454.71 / $2,454.71 / $2,754.23	Professional	TC	$2,454.71	$2,454.71	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $741.31	Professional		$275.42	$436.52	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $100.00 / $173.78	Professional	26	$81.28	$100.00	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $309.03 / $575.44	Professional	TC	$190.55	$309.03	$575.44