Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.99 / $90.84 / $292.52	Facility	26	$82.99	$90.84	$292.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $425.00 / $726.57	Professional		$275.38	$425.00	$726.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.33 / $90.84 / $155.65	Professional	26	$64.33	$90.84	$155.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $202.01 / $267.79 / $387.60	Professional	TC	$202.01	$267.79	$387.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $394.82 / $647.46 / $647.46	Professional		$394.82	$647.46	$647.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.22 / $57.70 / $130.44	Professional	26	$42.22	$57.70	$130.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.59 / $548.11 / $858.58	Professional		$235.59	$548.11	$858.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.80 / $87.64 / $143.18	Professional	26	$53.80	$87.64	$143.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.49 / $469.29 / $746.68	Professional	TC	$192.49	$469.29	$746.68
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 $206.89 / $484.17 / $783.77	Professional		$206.89	$484.17	$783.77
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 $159.80 / $389.52 / $679.35	Professional	TC	$159.80	$389.52	$679.35
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $519.52 / $519.52 / $530.79	Facility	26	$519.52	$519.52	$530.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,882.90 / $2,961.02 / $2,976.23	Professional		$2,882.90	$2,961.02	$2,976.23
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 / $2,631.72 / $2,703.83	Professional	TC	$2,573.94	$2,631.72	$2,703.83
United Facility/Professional Professional Modifier Low / Median / High Price $230.09 / $422.63 / $632.52	Professional		$230.09	$422.63	$632.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.39 / $70.78 / $123.42	Professional	26	$57.39	$70.78	$123.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.07 / $339.10 / $587.38	Professional	TC	$172.07	$339.10	$587.38