Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $163.89 / $239.12 / $556.39	Facility	26	$163.89	$239.12	$556.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.86 / $515.11 / $922.66	Professional		$409.86	$515.11	$922.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.41 / $167.64 / $320.26	Professional	26	$110.41	$167.64	$320.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $169.81 / $257.56 / $293.39	Professional	52	$169.81	$257.56	$293.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.98 / $347.21 / $550.12	Professional	TC	$269.98	$347.21	$550.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $287.30 / $474.05 / $626.24	Professional		$287.30	$474.05	$626.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.09 / $125.16 / $201.56	Professional	26	$80.09	$125.16	$201.56
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $149.74 / $149.74 / $280.76	Professional	TC	$149.74	$149.74	$280.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.48 / $609.80 / $1,078.10	Professional		$283.48	$609.80	$1,078.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.38 / $169.25 / $272.38	Professional	26	$103.38	$169.25	$272.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $215.89 / $462.55 / $879.01	Professional	TC	$215.89	$462.55	$879.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.95 / $111.95 / $123.88	Facility	26	$111.95	$111.95	$123.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.79 / $673.66 / $1,421.39	Professional		$281.79	$673.66	$1,421.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.31 / $162.38 / $253.74	Professional	26	$94.31	$162.38	$253.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.84 / $459.85 / $1,194.86	Professional	TC	$188.84	$459.85	$1,194.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $993.60 / $993.60 / $1,013.76	Facility	26	$993.60	$993.60	$1,013.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,146.58 / $6,330.97 / $6,330.97	Professional		$6,146.58	$6,330.97	$6,330.97
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $921.60 / $921.60 / $921.60	Professional	26	$921.60	$921.60	$921.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,551.18 / $5,717.71 / $5,717.71	Professional	TC	$5,551.18	$5,717.71	$5,717.71
United Facility/Professional Professional Modifier Low / Median / High Price $339.16 / $588.48 / $1,041.91	Professional		$339.16	$588.48	$1,041.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.08 / $134.62 / $276.10	Professional	26	$109.08	$134.62	$276.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.02 / $380.76 / $905.58	Professional	TC	$228.02	$380.76	$905.58