Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.74 / $203.85 / $460.53	Facility	26	$135.74	$203.85	$460.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $514.58 / $640.00	Professional		$425.00	$514.58	$640.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.84 / $135.74 / $198.44	Professional	26	$87.84	$135.74	$198.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $305.00 / $384.53 / $478.00	Professional	TC	$305.00	$384.53	$478.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $140.78 / $158.22 / $194.75	Professional	26	$140.78	$158.22	$194.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.60 / $625.84 / $944.18	Professional		$306.60	$625.84	$944.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.98 / $130.38 / $212.99	Professional	26	$80.98	$130.38	$212.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $255.48 / $491.02 / $764.19	Professional	TC	$255.48	$491.02	$764.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.72 / $87.72 / $96.95	Facility	26	$87.72	$87.72	$96.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.58 / $576.33 / $898.80	Professional		$292.58	$576.33	$898.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.52 / $125.43 / $200.15	Professional	26	$72.52	$125.43	$200.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.51 / $449.86 / $724.33	Professional	TC	$221.51	$449.86	$724.33
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $774.40 / $774.40 / $793.04	Facility	26	$774.40	$774.40	$793.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,032.66 / $3,043.62 / $3,048.68	Professional		$3,032.66	$3,043.62	$3,048.68
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $854.80 / $854.80 / $854.80	Professional	26	$854.80	$854.80	$854.80
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,562.41 / $2,573.94 / $2,632.62	Professional	TC	$2,562.41	$2,573.94	$2,632.62
United Facility/Professional Professional Modifier Low / Median / High Price $362.09 / $507.17 / $800.10	Professional		$362.09	$507.17	$800.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.34 / $105.23 / $184.63	Professional	26	$84.34	$105.23	$184.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $274.58 / $407.61 / $636.51	Professional	TC	$274.58	$407.61	$636.51