Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $98.00 / $248.71	Facility	26	$55.00	$98.00	$248.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $275.00 / $444.63	Professional		$165.22	$275.00	$444.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.49 / $55.00 / $145.38	Professional	26	$44.49	$55.00	$145.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $105.22 / $217.98 / $257.52	Professional	TC	$105.22	$217.98	$257.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.99 / $202.57 / $305.32	Professional		$193.99	$202.57	$305.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $50.44 / $94.14	Professional	26	$34.79	$50.44	$94.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $59.26 / $59.26 / $123.01	Professional	TC	$59.26	$59.26	$123.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $280.73 / $404.67	Professional		$128.54	$280.73	$404.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.70 / $79.36 / $124.31	Professional	26	$46.70	$79.36	$124.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.49 / $197.33 / $289.41	Professional	TC	$94.49	$197.33	$289.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.36 / $52.36 / $54.02	Facility	26	$52.36	$52.36	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.86 / $274.01 / $432.85	Professional		$116.86	$274.01	$432.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.84 / $73.14 / $118.69	Professional	26	$41.84	$73.14	$118.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.00 / $190.91 / $324.25	Professional	TC	$84.00	$190.91	$324.25
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $430.56 / $430.56 / $442.24	Facility	26	$430.56	$430.56	$442.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,609.32 / $1,657.60 / $1,657.60	Professional		$1,609.32	$1,657.60	$1,657.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $379.76 / $379.76 / $379.76	Professional	26	$379.76	$379.76	$379.76
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,331.00 / $1,357.90 / $1,357.90	Professional	TC	$1,331.00	$1,357.90	$1,357.90
United Facility/Professional Professional Modifier Low / Median / High Price $145.41 / $245.94 / $352.93	Professional		$145.41	$245.94	$352.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.69 / $61.16 / $118.49	Professional	26	$48.69	$61.16	$118.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.13 / $154.04 / $257.72	Professional	TC	$96.13	$154.04	$257.72