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 / $322.10	Facility	26	$55.00	$98.00	$322.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.35 / $275.39 / $426.86	Professional		$214.35	$275.39	$426.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $62.95 / $116.95	Professional	26	$55.00	$62.95	$116.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.56 / $220.00 / $335.85	Professional	TC	$155.56	$220.00	$335.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.03 / $290.93 / $303.80	Professional		$141.03	$290.93	$303.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.46 / $63.26 / $135.83	Professional	26	$43.46	$63.26	$135.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.13 / $346.29 / $582.22	Professional		$177.13	$346.29	$582.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.17 / $95.44 / $144.13	Professional	26	$56.17	$95.44	$144.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.60 / $267.02 / $451.13	Professional	TC	$132.60	$267.02	$451.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.54 / $67.54 / $67.81	Facility	26	$67.54	$67.54	$67.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $386.67 / $639.27	Professional		$173.37	$386.67	$639.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.48 / $94.23 / $153.72	Professional	26	$53.48	$94.23	$153.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.57 / $290.33 / $491.35	Professional	TC	$126.57	$290.33	$491.35
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $540.48 / $540.48 / $553.04	Facility	26	$540.48	$540.48	$553.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,319.03 / $2,388.60 / $2,388.60	Professional		$2,319.03	$2,388.60	$2,388.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $543.21 / $543.21 / $543.21	Professional	26	$543.21	$543.21	$543.21
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,973.17 / $2,032.36 / $2,032.36	Professional	TC	$1,973.17	$2,032.36	$2,032.36
United Facility/Professional Professional Modifier Low / Median / High Price $215.54 / $358.82 / $519.38	Professional		$215.54	$358.82	$519.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $80.91 / $136.19	Professional	26	$64.73	$80.91	$136.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $150.72 / $252.98 / $375.62	Professional	TC	$150.72	$252.98	$375.62