Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.24 / $166.37 / $374.54	Facility	26	$110.24	$166.37	$374.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.11 / $442.98 / $692.52	Professional		$366.11	$442.98	$692.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $110.24 / $161.72	Professional	26	$85.00	$110.24	$161.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $276.73 / $330.00 / $415.69	Professional	TC	$276.73	$330.00	$415.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $681.80 / $681.80 / $681.80	Professional		$681.80	$681.80	$681.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.05 / $51.05 / $76.58	Professional	26	$51.05	$51.05	$76.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.76 / $631.55 / $929.35	Professional		$317.76	$631.55	$929.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.64 / $107.03 / $169.10	Professional	26	$65.64	$107.03	$169.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.30 / $534.79 / $771.05	Professional	TC	$280.30	$534.79	$771.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.34 / $71.34 / $79.09	Facility	26	$71.34	$71.34	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.36 / $551.28 / $912.11	Professional		$293.36	$551.28	$912.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.73 / $101.86 / $165.68	Professional	26	$58.73	$101.86	$165.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.41 / $470.76 / $765.28	Professional	TC	$242.41	$470.76	$765.28
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $632.64 / $632.64 / $647.12	Facility	26	$632.64	$632.64	$647.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,916.35 / $3,077.22 / $3,113.67	Professional		$2,916.35	$3,077.22	$3,113.67
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $680.25 / $680.25 / $680.25	Professional	26	$680.25	$680.25	$680.25
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,539.44 / $2,677.57 / $2,677.57	Professional	TC	$2,539.44	$2,677.57	$2,677.57
United Facility/Professional Professional Modifier Low / Median / High Price $365.30 / $503.37 / $813.88	Professional		$365.30	$503.37	$813.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.56 / $84.11 / $150.83	Professional	26	$67.56	$84.11	$150.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $294.92 / $419.51 / $673.89	Professional	TC	$294.92	$419.51	$673.89