Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $134.90 / $467.74	Facility	26	$125.89	$134.90	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $1,174.90	Professional		$354.81	$549.54	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $295.12	Professional	26	$83.18	$141.25	$295.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $398.11 / $794.33	Professional	TC	$257.04	$398.11	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $346.74	Professional		$239.88	$302.00	$346.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $81.28 / $158.49	Professional	26	$63.10	$81.28	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $1,258.93	Professional		$316.23	$537.03	$1,258.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $134.90 / $213.80	Professional	26	$85.11	$134.90	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $676.08 / $1,202.26	Professional	TC	$363.08	$676.08	$1,202.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $758.58 / $1,318.26	Professional		$338.84	$758.58	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $117.49 / $213.80	Professional	26	$74.13	$117.49	$213.80
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 $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
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 $363.08 / $691.83 / $1,071.52	Professional		$363.08	$691.83	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $102.33 / $177.83	Professional	26	$83.18	$102.33	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $537.03 / $891.25	Professional	TC	$275.42	$537.03	$891.25