Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.34 / $292.52 / $309.02	Facility	26	$90.34	$292.52	$309.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.37 / $374.02 / $525.00	Professional		$290.37	$374.02	$525.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.97 / $90.34 / $141.00	Professional	26	$72.97	$90.34	$141.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.41 / $283.68 / $369.35	Professional	TC	$217.41	$283.68	$369.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.91 / $51.91 / $51.91	Professional	26	$51.91	$51.91	$51.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.93 / $552.90 / $855.59	Professional		$243.93	$552.90	$855.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.89 / $87.90 / $142.46	Professional	26	$53.89	$87.90	$142.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $205.18 / $480.59 / $745.86	Professional	TC	$205.18	$480.59	$745.86
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 $213.07 / $490.16 / $791.56	Professional		$213.07	$490.16	$791.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.20 / $83.53 / $136.07	Professional	26	$48.20	$83.53	$136.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.44 / $388.28 / $679.35	Professional	TC	$162.44	$388.28	$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 $2,882.90 / $2,955.62 / $2,972.47	Professional		$2,882.90	$2,955.62	$2,972.47
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $596.05 / $596.05 / $596.05	Professional	26	$596.05	$596.05	$596.05
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,573.94 / $2,626.86 / $2,698.84	Professional	TC	$2,573.94	$2,626.86	$2,698.84
United Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $468.38 / $699.03	Professional		$242.00	$468.38	$699.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.06 / $67.48 / $123.48	Professional	26	$57.06	$67.48	$123.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.95 / $333.40 / $550.42	Professional	TC	$182.95	$333.40	$550.42