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 / $284.57	Facility	26	$55.00	$98.00	$284.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.99 / $275.00 / $357.50	Professional		$182.99	$275.00	$357.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $58.24 / $112.29	Professional	26	$52.46	$58.24	$112.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.14 / $220.00 / $274.75	Professional	TC	$123.14	$220.00	$274.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.61 / $58.40 / $107.42	Professional	26	$42.61	$58.40	$107.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.26 / $345.40 / $497.35	Professional		$163.26	$345.40	$497.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.46 / $89.46 / $144.93	Professional	26	$54.46	$89.46	$144.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.45 / $251.94 / $369.51	Professional	TC	$121.45	$251.94	$369.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.91 / $59.91 / $65.98	Facility	26	$59.91	$59.91	$65.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.07 / $329.82 / $535.12	Professional		$149.07	$329.82	$535.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.07 / $84.75 / $135.80	Professional	26	$49.07	$84.75	$135.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.04 / $242.30 / $400.59	Professional	TC	$104.04	$242.30	$400.59
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $525.76 / $525.76 / $540.32	Facility	26	$525.76	$525.76	$540.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,882.38 / $1,938.85 / $1,938.85	Professional		$1,882.38	$1,938.85	$1,938.85
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $434.24 / $434.24 / $459.75	Professional	26	$434.24	$434.24	$459.75
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,576.92 / $1,624.23 / $1,624.23	Professional	TC	$1,576.92	$1,624.23	$1,624.23
United Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $292.38 / $438.90	Professional		$183.96	$292.38	$438.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.07 / $71.64 / $124.88	Professional	26	$58.07	$71.64	$124.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.17 / $217.68 / $306.77	Professional	TC	$125.17	$217.68	$306.77