Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.13 / $170.32 / $549.38	Facility	26	$156.13	$170.32	$549.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.79 / $641.91 / $905.25	Professional		$438.79	$641.91	$905.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.22 / $156.56 / $214.54	Professional	26	$107.22	$156.56	$214.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $309.00 / $478.80 / $665.08	Professional	TC	$309.00	$478.80	$665.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.06 / $247.06 / $247.06	Professional		$247.06	$247.06	$247.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.09 / $83.12 / $246.65	Professional	26	$79.09	$83.12	$246.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.15 / $905.67 / $1,345.32	Professional		$434.15	$905.67	$1,345.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.61 / $166.04 / $268.98	Professional	26	$101.61	$166.04	$268.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $381.98 / $746.25 / $1,154.35	Professional	TC	$381.98	$746.25	$1,154.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.54 / $110.54 / $122.33	Facility	26	$110.54	$110.54	$122.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.15 / $894.59 / $1,544.69	Professional		$424.15	$894.59	$1,544.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.87 / $157.37 / $250.55	Professional	26	$90.87	$157.37	$250.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $330.62 / $706.70 / $1,292.30	Professional	TC	$330.62	$706.70	$1,292.30
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $981.20 / $981.20 / $1,000.96	Facility	26	$981.20	$981.20	$1,000.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,967.97 / $6,147.01 / $6,147.01	Professional		$5,967.97	$6,147.01	$6,147.01
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $937.83 / $937.83 / $937.83	Professional	26	$937.83	$937.83	$937.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,400.50 / $5,562.51 / $5,562.51	Professional	TC	$5,400.50	$5,562.51	$5,562.51
United Facility/Professional Professional Modifier Low / Median / High Price $517.29 / $838.09 / $1,235.64	Professional		$517.29	$838.09	$1,235.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.73 / $132.10 / $231.70	Professional	26	$106.73	$132.10	$231.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $402.77 / $673.68 / $932.13	Professional	TC	$402.77	$673.68	$932.13