Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.34 / $162.13 / $520.66	Facility	26	$148.34	$162.13	$520.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $525.00 / $1,064.18	Professional		$425.00	$525.00	$1,064.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $154.94 / $291.39	Professional	26	$111.15	$154.94	$291.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $304.89 / $369.35 / $512.60	Professional	TC	$304.89	$369.35	$512.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $334.76 / $367.64 / $812.00	Professional		$334.76	$367.64	$812.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.18 / $131.56 / $234.38	Professional	26	$75.18	$131.56	$234.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $645.97 / $1,092.43	Professional		$321.27	$645.97	$1,092.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.72 / $157.41 / $255.00	Professional	26	$96.72	$157.41	$255.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.37 / $532.14 / $925.97	Professional	TC	$251.37	$532.14	$925.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.76 / $104.76 / $116.17	Facility	26	$104.76	$104.76	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.24 / $706.38 / $1,379.90	Professional		$310.24	$706.38	$1,379.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $149.35 / $237.44	Professional	26	$86.34	$149.35	$237.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.57 / $520.55 / $1,223.33	Professional	TC	$217.57	$520.55	$1,223.33
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $932.32 / $932.32 / $950.80	Facility	26	$932.32	$932.32	$950.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,981.06 / $6,160.49 / $6,160.49	Professional		$5,981.06	$6,160.49	$6,160.49
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $883.52 / $883.52 / $883.52	Professional	26	$883.52	$883.52	$883.52
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,438.76 / $5,601.93 / $5,601.93	Professional	TC	$5,438.76	$5,601.93	$5,601.93
United Facility/Professional Professional Modifier Low / Median / High Price $367.85 / $627.29 / $1,054.60	Professional		$367.85	$627.29	$1,054.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.70 / $125.78 / $220.16	Professional	26	$101.70	$125.78	$220.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.29 / $458.90 / $893.78	Professional	TC	$263.29	$458.90	$893.78