Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $162.18 / $549.54	Facility	26	$147.91	$162.18	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $1,230.27	Professional		$346.74	$562.34	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $169.82 / $446.68	Professional	26	$97.72	$169.82	$446.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $389.05 / $851.14	Professional	TC	$245.47	$389.05	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $524.81	Professional		$223.87	$331.13	$524.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $97.72 / $234.42	Professional	26	$75.86	$97.72	$234.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $346.74 / $346.74	Professional	TC	$346.74	$346.74	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,023.29	Professional		$316.23	$446.68	$1,023.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $162.18 / $257.04	Professional	26	$100.00	$162.18	$257.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $512.86 / $912.01	Professional	TC	$275.42	$512.86	$912.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	26	$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $691.83 / $1,230.27	Professional		$338.84	$691.83	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $141.25 / $245.47	Professional	26	$89.13	$141.25	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $524.81 / $1,096.48	Professional	TC	$239.88	$524.81	$1,096.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	26	$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $891.25 / $891.25 / $891.25	Professional	26	$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional	TC	$5,623.41	$5,623.41	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $630.96 / $1,122.02	Professional		$363.08	$630.96	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $120.23 / $213.80	Professional	26	$97.72	$120.23	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $457.09 / $891.25	Professional	TC	$257.04	$457.09	$891.25