Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $169.82 / $588.84	Facility	26	$154.88	$169.82	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,445.44	Professional		$426.58	$676.08	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $165.96 / $346.74	Professional	26	$104.71	$165.96	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $478.63 / $870.96	Professional	TC	$302.00	$478.63	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $741.31	Professional		$407.38	$512.86	$741.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $102.33 / $245.47	Professional	26	$102.33	$102.33	$245.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $537.03 / $537.03	Professional	TC	$537.03	$537.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,288.25	Professional		$426.58	$602.56	$1,288.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $169.82 / $269.15	Professional	26	$104.71	$169.82	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $741.31 / $1,148.15	Professional	TC	$416.87	$741.31	$1,148.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $851.14 / $1,445.44	Professional		$457.09	$851.14	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $147.91 / $257.04	Professional	26	$93.33	$147.91	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $691.83 / $1,230.27	Professional	TC	$363.08	$691.83	$1,230.27
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	26	$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $933.25 / $933.25 / $933.25	Professional	26	$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional	TC	$5,623.41	$5,623.41	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,230.27	Professional		$512.86	$812.83	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $128.82 / $223.87	Professional	26	$102.33	$128.82	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $630.96 / $977.24	Professional	TC	$407.38	$630.96	$977.24