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 / $289.51	Facility	26	$55.00	$98.00	$289.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.70 / $282.66 / $511.63	Professional		$168.70	$282.66	$511.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $63.00 / $169.16	Professional	26	$51.54	$63.00	$169.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.77 / $220.00 / $286.25	Professional	TC	$125.77	$220.00	$286.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $150.34 / $189.69	Professional		$90.85	$150.34	$189.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.69 / $59.00 / $109.53	Professional	26	$40.69	$59.00	$109.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $50.73 / $134.91 / $378.00	Professional	TC	$50.73	$134.91	$378.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $301.63 / $492.36	Professional		$150.10	$301.63	$492.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.56 / $88.10 / $133.03	Professional	26	$52.56	$88.10	$133.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.99 / $208.34 / $357.12	Professional	TC	$108.99	$208.34	$357.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.95 / $60.95 / $63.24	Facility	26	$60.95	$60.95	$63.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $323.27 / $525.80	Professional		$147.44	$323.27	$525.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.66 / $85.15 / $138.16	Professional	26	$48.66	$85.15	$138.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.66 / $237.66 / $392.60	Professional	TC	$103.66	$237.66	$392.60
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $504.00 / $504.00 / $518.00	Facility	26	$504.00	$504.00	$518.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,890.30 / $1,947.01 / $1,947.01	Professional		$1,890.30	$1,947.01	$1,947.01
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $450.76 / $450.76 / $450.76	Professional	26	$450.76	$450.76	$450.76
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,576.92 / $1,624.23 / $1,624.23	Professional	TC	$1,576.92	$1,624.23	$1,624.23
United Facility/Professional Professional Modifier Low / Median / High Price $184.66 / $295.14 / $438.27	Professional		$184.66	$295.14	$438.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.77 / $73.28 / $125.99	Professional	26	$58.77	$73.28	$125.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.06 / $203.00 / $305.27	Professional	TC	$123.06	$203.00	$305.27