Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $97.72 / $354.81	Facility	26	$54.95	$97.72	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $489.78	Professional		$186.21	$275.42	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $77.62 / $162.18	Professional	26	$54.95	$77.62	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $218.78 / $380.19	Professional	TC	$134.90	$218.78	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $173.78 / $338.84	Professional		$64.57	$173.78	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $56.23 / $93.33	Professional	26	$43.65	$56.23	$93.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $204.17 / $245.47	Professional	TC	$114.82	$204.17	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $512.86	Professional		$169.82	$234.42	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $95.50 / $147.91	Professional	26	$57.54	$95.50	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $251.19 / $446.68	Professional	TC	$138.04	$251.19	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $602.56	Professional		$194.98	$380.19	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $87.10 / $158.49	Professional	26	$53.70	$87.10	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $288.40 / $478.63	Professional	TC	$134.90	$288.40	$478.63
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	26	$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $537.03 / $537.03 / $537.03	Professional	26	$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional	TC	$2,041.74	$2,041.74	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $524.81	Professional		$213.80	$354.81	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $77.62 / $134.90	Professional	26	$63.10	$77.62	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $251.19 / $371.54	Professional	TC	$147.91	$251.19	$371.54