Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.48 / $112.28 / $386.51	Facility	26	$109.48	$112.28	$386.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.97 / $403.18 / $541.75	Professional		$314.97	$403.18	$541.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.56 / $112.98 / $155.65	Professional	26	$81.56	$112.98	$155.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.43 / $290.19 / $369.35	Professional	TC	$223.43	$290.19	$369.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.61 / $81.75 / $105.79	Professional	26	$54.61	$81.75	$105.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.56 / $583.48 / $922.70	Professional		$257.56	$583.48	$922.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.86 / $90.98 / $163.52	Professional	26	$57.86	$90.98	$163.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $209.89 / $491.78 / $783.41	Professional	TC	$209.89	$491.78	$783.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.62 / $73.62 / $81.40	Facility	26	$73.62	$73.62	$81.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.26 / $518.04 / $804.41	Professional		$229.26	$518.04	$804.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.98 / $96.17 / $165.21	Professional	26	$54.98	$96.17	$165.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.15 / $412.31 / $693.61	Professional	TC	$169.15	$412.31	$693.61
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $648.08 / $648.08 / $666.24	Facility	26	$648.08	$648.08	$666.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,882.90 / $3,076.60 / $3,076.60	Professional		$2,882.90	$3,076.60	$3,076.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $596.05 / $867.00 / $867.00	Professional	26	$596.05	$867.00	$867.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,573.94 / $2,747.24 / $2,790.07	Professional	TC	$2,573.94	$2,747.24	$2,790.07
United Facility/Professional Professional Modifier Low / Median / High Price $256.98 / $448.34 / $690.84	Professional		$256.98	$448.34	$690.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.74 / $84.56 / $153.74	Professional	26	$61.74	$84.56	$153.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.26 / $347.21 / $567.30	Professional	TC	$186.26	$347.21	$567.30