Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $363.08 / $398.11	Facility	26	$125.89	$363.08	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,023.29	Professional		$331.13	$524.81	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $125.89 / $229.09	Professional	26	$67.61	$125.89	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $389.05 / $812.83	Professional	TC	$257.04	$389.05	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $331.13	Professional		$218.78	$218.78	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $109.65	Professional	26	$51.29	$66.07	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $1,230.27	Professional		$316.23	$537.03	$1,230.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $125.89 / $208.93	Professional	26	$79.43	$125.89	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $660.69 / $1,202.26	Professional	TC	$363.08	$660.69	$1,202.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $741.31 / $1,318.26	Professional		$331.13	$741.31	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $186.21	Professional	26	$64.57	$104.71	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $588.84 / $1,174.90	Professional	TC	$263.03	$588.84	$1,174.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	26	$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $812.83 / $812.83 / $812.83	Professional	26	$812.83	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional	TC	$5,011.87	$5,011.87	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $676.08 / $1,071.52	Professional		$338.84	$676.08	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $151.36	Professional	26	$70.79	$93.33	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $524.81 / $891.25	Professional	TC	$269.15	$524.81	$891.25