Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.04 / $135.33 / $463.05	Facility	26	$125.04	$135.33	$463.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $525.00 / $839.77	Professional		$425.00	$525.00	$839.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.81 / $136.18 / $171.54	Professional	26	$86.81	$136.18	$171.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $299.00 / $392.71 / $501.95	Professional	TC	$299.00	$392.71	$501.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $510.81 / $990.00 / $990.00	Professional		$510.81	$990.00	$990.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $86.32 / $141.30	Professional	26	$62.78	$86.32	$141.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.64 / $837.62 / $1,345.85	Professional		$363.64	$837.62	$1,345.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.31 / $131.08 / $208.84	Professional	26	$80.31	$131.08	$208.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $313.23 / $733.92 / $1,189.90	Professional	TC	$313.23	$733.92	$1,189.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.20 / $88.20 / $97.25	Facility	26	$88.20	$88.20	$97.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.99 / $756.00 / $1,355.51	Professional		$325.99	$756.00	$1,355.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.30 / $125.83 / $204.64	Professional	26	$72.30	$125.83	$204.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.00 / $598.21 / $1,229.41	Professional	TC	$248.00	$598.21	$1,229.41
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $777.44 / $777.44 / $796.16	Facility	26	$777.44	$777.44	$796.16
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 $360.14 / $698.67 / $1,054.04	Professional		$360.14	$698.67	$1,054.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.93 / $103.70 / $184.78	Professional	26	$85.93	$103.70	$184.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $273.16 / $542.77 / $884.61	Professional	TC	$273.16	$542.77	$884.61