Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.86 / $152.10 / $346.92	Facility	26	$92.86	$152.10	$346.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $397.46 / $663.66	Professional		$290.08	$397.46	$663.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.05 / $101.28 / $155.65	Professional	26	$82.05	$101.28	$155.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.03 / $279.89 / $369.35	Professional	TC	$208.03	$279.89	$369.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.91 / $73.30 / $145.97	Professional	26	$46.91	$73.30	$145.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.53 / $479.30 / $740.72	Professional		$232.53	$479.30	$740.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.10 / $98.67 / $154.58	Professional	26	$60.10	$98.67	$154.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $183.18 / $374.48 / $618.52	Professional	TC	$183.18	$374.48	$618.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.08 / $66.08 / $72.95	Facility	26	$66.08	$66.08	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $472.51 / $773.78	Professional		$198.85	$472.51	$773.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.20 / $94.09 / $149.78	Professional	26	$54.20	$94.09	$149.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.24 / $359.96 / $661.36	Professional	TC	$158.24	$359.96	$661.36
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $580.79 / $580.79 / $596.96	Facility	26	$580.79	$580.79	$596.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,821.00 / $2,873.43 / $2,896.26	Professional		$2,821.00	$2,873.43	$2,896.26
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $625.77 / $625.77 / $625.77	Professional	26	$625.77	$625.77	$625.77
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,451.15 / $2,524.69 / $2,524.69	Professional	TC	$2,451.15	$2,524.69	$2,524.69
United Facility/Professional Professional Modifier Low / Median / High Price $246.34 / $448.50 / $625.98	Professional		$246.34	$448.50	$625.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.77 / $78.83 / $137.13	Professional	26	$63.77	$78.83	$137.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.62 / $314.13 / $495.02	Professional	TC	$180.62	$314.13	$495.02