Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.99 / $133.71 / $434.78	Facility	26	$123.99	$133.71	$434.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.52 / $449.30 / $640.00	Professional		$347.52	$449.30	$640.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $134.56 / $197.54	Professional	26	$85.00	$134.56	$197.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $143.93 / $223.26 / $262.50	Professional	52	$143.93	$223.26	$262.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $238.28 / $314.75 / $396.46	Professional	TC	$238.28	$314.75	$396.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.48 / $85.60 / $193.70	Professional	26	$77.48	$85.60	$193.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $132.58 / $132.58 / $132.58	Professional	TC	$132.58	$132.58	$132.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.58 / $510.00 / $851.60	Professional		$239.58	$510.00	$851.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.81 / $131.12 / $212.41	Professional	26	$79.81	$131.12	$212.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $189.63 / $398.57 / $699.44	Professional	TC	$189.63	$398.57	$699.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.48 / $87.48 / $96.46	Facility	26	$87.48	$87.48	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.87 / $539.21 / $908.48	Professional		$238.87	$539.21	$908.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.70 / $124.33 / $198.30	Professional	26	$71.70	$124.33	$198.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.69 / $400.00 / $737.19	Professional	TC	$165.69	$400.00	$737.19
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $771.20 / $771.20 / $789.76	Facility	26	$771.20	$771.20	$789.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,445.62 / $3,548.99 / $3,548.99	Professional		$3,445.62	$3,548.99	$3,548.99
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $672.00 / $672.00 / $675.90	Professional	26	$672.00	$672.00	$675.90
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,996.90 / $3,086.80 / $3,086.80	Professional	TC	$2,996.90	$3,086.80	$3,086.80
United Facility/Professional Professional Modifier Low / Median / High Price $291.67 / $498.13 / $760.50	Professional		$291.67	$498.13	$760.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.01 / $103.63 / $183.72	Professional	26	$84.01	$103.63	$183.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.63 / $356.36 / $559.08	Professional	TC	$206.63	$356.36	$559.08