Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.36 / $167.24 / $380.05	Facility	26	$111.36	$167.24	$380.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $524.60 / $891.71	Professional		$370.50	$524.60	$891.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $111.36 / $163.36	Professional	26	$85.00	$111.36	$163.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $299.00 / $389.99 / $541.71	Professional	TC	$299.00	$389.99	$541.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $985.93 / $985.93 / $985.93	Professional		$985.93	$985.93	$985.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.57 / $56.84 / $158.72	Professional	26	$51.57	$56.84	$158.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.09 / $851.45 / $1,351.90	Professional		$353.09	$851.45	$1,351.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.41 / $126.32 / $207.08	Professional	26	$73.41	$126.32	$207.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $311.05 / $715.11 / $1,189.90	Professional	TC	$311.05	$715.11	$1,189.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.39 / $72.39 / $80.26	Facility	26	$72.39	$72.39	$80.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $737.62 / $1,354.99	Professional		$310.05	$737.62	$1,354.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.53 / $109.03 / $185.63	Professional	26	$61.53	$109.03	$185.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $246.28 / $597.30 / $1,228.32	Professional	TC	$246.28	$597.30	$1,228.32
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $638.88 / $638.88 / $656.72	Facility	26	$638.88	$638.88	$656.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,311.18 / $5,470.52 / $5,470.52	Professional		$5,311.18	$5,470.52	$5,470.52
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $808.00 / $808.00 / $808.00	Professional	26	$808.00	$808.00	$808.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $4,858.99 / $5,004.77 / $5,004.77	Professional	TC	$4,858.99	$5,004.77	$5,004.77
United Facility/Professional Professional Modifier Low / Median / High Price $342.58 / $641.75 / $1,052.32	Professional		$342.58	$641.75	$1,052.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.68 / $94.27 / $153.04	Professional	26	$72.68	$94.27	$153.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $277.24 / $539.00 / $887.54	Professional	TC	$277.24	$539.00	$887.54