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 / $233.65	Facility	26	$55.00	$98.00	$233.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $272.73 / $387.64	Professional		$161.99	$272.73	$387.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.63 / $55.00 / $116.71	Professional	26	$44.63	$55.00	$116.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.01 / $207.11 / $227.00	Professional	TC	$104.01	$207.11	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.07 / $202.07 / $202.07	Professional		$202.07	$202.07	$202.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $47.83 / $108.15	Professional	26	$34.79	$47.83	$108.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $276.01 / $396.69	Professional		$127.90	$276.01	$396.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.49 / $77.68 / $119.00	Professional	26	$44.49	$77.68	$119.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.61 / $198.19 / $288.27	Professional	TC	$94.61	$198.19	$288.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.19 / $49.19 / $54.02	Facility	26	$49.19	$49.19	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.02 / $262.88 / $434.19	Professional		$115.02	$262.88	$434.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $71.12 / $114.78	Professional	26	$40.17	$71.12	$114.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.19 / $187.54 / $324.25	Professional	TC	$77.19	$187.54	$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 $1,318.35 / $1,357.90 / $1,357.90	Professional	TC	$1,318.35	$1,357.90	$1,357.90
United Facility/Professional Professional Modifier Low / Median / High Price $145.41 / $243.53 / $347.75	Professional		$145.41	$243.53	$347.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.46 / $60.71 / $114.48	Professional	26	$48.46	$60.71	$114.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.27 / $168.40 / $244.79	Professional	TC	$98.27	$168.40	$244.79