Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $99.54 / $468.51	Facility	26	$55.00	$99.54	$468.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $351.89 / $583.73	Professional		$275.00	$351.89	$583.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $89.13 / $210.61	Professional	26	$55.00	$89.13	$210.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.13 / $227.00 / $380.41	Professional	TC	$187.13	$227.00	$380.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.55 / $262.70 / $497.57	Professional		$213.55	$262.70	$497.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.58 / $87.42 / $160.60	Professional	26	$63.58	$87.42	$160.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $177.62 / $177.62 / $319.42	Professional	TC	$177.62	$177.62	$319.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $500.92 / $765.26	Professional		$248.85	$500.92	$765.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.91 / $134.97 / $211.33	Professional	26	$81.91	$134.97	$211.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $183.77 / $362.89 / $603.04	Professional	TC	$183.77	$362.89	$603.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.24 / $89.24 / $98.41	Facility	26	$89.24	$89.24	$98.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.73 / $487.19 / $865.19	Professional		$248.73	$487.19	$865.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.79 / $126.87 / $200.26	Professional	26	$74.79	$126.87	$200.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.79 / $367.36 / $661.89	Professional	TC	$170.79	$367.36	$661.89
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $788.32 / $788.32 / $804.96	Facility	26	$788.32	$788.32	$804.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,183.14 / $3,278.63 / $3,278.63	Professional		$3,183.14	$3,278.63	$3,278.63
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $694.28 / $1,009.00 / $1,009.00	Professional	26	$694.28	$1,009.00	$1,009.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,699.58 / $2,780.57 / $2,780.57	Professional	TC	$2,699.58	$2,780.57	$2,780.57
United Facility/Professional Professional Modifier Low / Median / High Price $283.20 / $452.83 / $749.75	Professional		$283.20	$452.83	$749.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.07 / $106.84 / $187.45	Professional	26	$88.07	$106.84	$187.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $193.26 / $323.77 / $509.03	Professional	TC	$193.26	$323.77	$509.03