Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $112.20 / $467.74	Facility	26	$54.95	$112.20	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $776.25	Professional		$251.19	$354.81	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $91.20 / $245.47	Professional	26	$74.13	$91.20	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $223.87 / $467.74	Professional	TC	$162.18	$223.87	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $537.03	Professional		$199.53	$281.84	$537.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $81.28 / $144.54	Professional	26	$63.10	$81.28	$144.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $190.55 / $288.40	Professional	TC	$158.49	$190.55	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $724.44	Professional		$229.09	$331.13	$724.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $138.04 / $218.78	Professional	26	$87.10	$138.04	$218.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $363.08 / $616.60	Professional	TC	$190.55	$363.08	$616.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $831.76	Professional		$257.04	$457.09	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $120.23 / $204.17	Professional	26	$74.13	$120.23	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $346.74 / $630.96	Professional	TC	$177.83	$346.74	$630.96
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $691.83 / $691.83 / $1,000.00	Professional	26	$691.83	$691.83	$1,000.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional	TC	$2,754.23	$2,754.23	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $660.69	Professional		$281.84	$436.52	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $104.71 / $177.83	Professional	26	$83.18	$104.71	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $309.03 / $501.19	Professional	TC	$190.55	$309.03	$501.19