Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $85.25 / $147.00	Facility	26	$55.00	$85.25	$147.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $247.84 / $357.50	Professional		$138.94	$247.84	$357.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.28 / $55.00 / $107.80	Professional	26	$48.28	$55.00	$107.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.29 / $154.18 / $227.00	Professional	TC	$88.29	$154.18	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $205.05 / $301.13	Professional		$120.45	$205.05	$301.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.69 / $50.68 / $117.30	Professional	26	$37.69	$50.68	$117.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.47 / $115.74 / $153.93	Professional	TC	$52.47	$115.74	$153.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.21 / $211.84 / $334.72	Professional		$118.21	$211.84	$334.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.68 / $79.70 / $123.20	Professional	26	$48.68	$79.70	$123.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.34 / $134.61 / $211.52	Professional	TC	$81.34	$134.61	$211.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.64 / $58.64 / $58.64	Facility	26	$58.64	$58.64	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $201.53 / $330.82	Professional		$121.82	$201.53	$330.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.53 / $74.34 / $119.06	Professional	26	$43.53	$74.34	$119.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.26 / $126.20 / $209.48	Professional	TC	$75.26	$126.20	$209.48
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 $915.52 / $915.52 / $1,167.08	Professional		$915.52	$915.52	$1,167.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $323.73 / $323.73 / $409.43	Professional	26	$323.73	$323.73	$409.43
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $591.79 / $591.79 / $757.65	Professional	TC	$591.79	$591.79	$757.65
United Facility/Professional Professional Modifier Low / Median / High Price $142.26 / $173.96 / $311.99	Professional		$142.26	$173.96	$311.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.14 / $62.64 / $109.90	Professional	26	$50.14	$62.64	$109.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.56 / $111.32 / $199.50	Professional	TC	$92.56	$111.32	$199.50