Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.99 / $90.34 / $292.52	Facility	26	$82.99	$90.34	$292.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $418.59 / $536.53	Professional		$288.83	$418.59	$536.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.37 / $90.90 / $155.65	Professional	26	$73.37	$90.90	$155.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $201.61 / $281.95 / $386.82	Professional	TC	$201.61	$281.95	$386.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.45 / $644.89 / $644.89	Professional		$233.45	$644.89	$644.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.73 / $57.38 / $129.78	Professional	26	$41.73	$57.38	$129.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $211.64 / $211.64 / $211.64	Professional	TC	$211.64	$211.64	$211.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $540.96 / $860.43	Professional		$234.60	$540.96	$860.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.50 / $88.23 / $143.08	Professional	26	$53.50	$88.23	$143.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.77 / $466.78 / $748.73	Professional	TC	$191.77	$466.78	$748.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.86 / $58.86 / $64.84	Facility	26	$58.86	$58.86	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.11 / $483.46 / $784.35	Professional		$206.11	$483.46	$784.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.20 / $83.99 / $136.82	Professional	26	$48.20	$83.99	$136.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $159.02 / $388.40 / $679.35	Professional	TC	$159.02	$388.40	$679.35
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $516.48 / $516.48 / $530.79	Facility	26	$516.48	$516.48	$530.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,885.07 / $2,968.23 / $2,983.73	Professional		$2,885.07	$2,968.23	$2,983.73
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $505.24 / $505.24 / $505.24	Professional	26	$505.24	$505.24	$505.24
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,573.94 / $2,638.88 / $2,710.11	Professional	TC	$2,573.94	$2,638.88	$2,710.11
United Facility/Professional Professional Modifier Low / Median / High Price $229.10 / $430.33 / $646.12	Professional		$229.10	$430.33	$646.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $67.48 / $122.70	Professional	26	$55.22	$67.48	$122.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.66 / $326.04 / $538.84	Professional	TC	$172.66	$326.04	$538.84