Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $98.00 / $271.18	Facility	26	$55.00	$98.00	$271.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.12 / $272.73 / $403.82	Professional		$150.12	$272.73	$403.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.85 / $55.00 / $135.00	Professional	26	$45.85	$55.00	$135.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $71.64 / $137.50 / $162.50	Professional	52	$71.64	$137.50	$162.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.82 / $208.96 / $257.93	Professional	TC	$99.82	$208.96	$257.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $132.36 / $298.01	Professional		$96.26	$132.36	$298.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.69 / $51.83 / $91.60	Professional	26	$37.69	$51.83	$91.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $37.34 / $49.78 / $151.00	Professional	TC	$37.34	$49.78	$151.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $239.13 / $378.65	Professional		$118.66	$239.13	$378.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.68 / $81.72 / $123.20	Professional	26	$48.68	$81.72	$123.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.47 / $151.05 / $286.76	Professional	TC	$74.47	$151.05	$286.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.09 / $57.09 / $58.64	Facility	26	$57.09	$57.09	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $263.81 / $437.38	Professional		$118.56	$263.81	$437.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.44 / $76.02 / $128.12	Professional	26	$44.44	$76.02	$128.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.61 / $180.20 / $324.25	Professional	TC	$76.61	$180.20	$324.25
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $466.96 / $466.96 / $479.84	Facility	26	$466.96	$466.96	$479.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,609.32 / $1,657.60 / $1,657.60	Professional		$1,609.32	$1,657.60	$1,657.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $394.61 / $394.61 / $409.43	Professional	26	$394.61	$394.61	$409.43
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,384.00 / $1,384.00 / $1,384.00	Professional	TC	$1,384.00	$1,384.00	$1,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $242.24 / $355.99	Professional		$147.75	$242.24	$355.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $68.04 / $117.98	Professional	26	$51.86	$68.04	$117.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.27 / $158.81 / $235.41	Professional	TC	$91.27	$158.81	$235.41