Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $85.25 / $314.52	Facility	26	$55.00	$85.25	$314.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $275.00 / $357.50	Professional		$184.38	$275.00	$357.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $58.33 / $160.24	Professional	26	$52.78	$58.33	$160.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.19 / $220.00 / $270.49	Professional	TC	$124.19	$220.00	$270.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.55 / $95.89 / $107.08	Professional	26	$44.55	$95.89	$107.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.15 / $346.96 / $499.61	Professional		$164.15	$346.96	$499.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.87 / $89.82 / $142.11	Professional	26	$54.87	$89.82	$142.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.76 / $251.70 / $365.23	Professional	TC	$124.76	$251.70	$365.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.91 / $59.91 / $66.34	Facility	26	$59.91	$59.91	$66.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $331.34 / $535.12	Professional		$150.38	$331.34	$535.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.23 / $85.06 / $135.80	Professional	26	$49.23	$85.06	$135.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.90 / $243.84 / $401.13	Professional	TC	$104.90	$243.84	$401.13
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $528.08 / $528.08 / $542.79	Facility	26	$528.08	$528.08	$542.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,884.77 / $1,941.31 / $1,941.31	Professional		$1,884.77	$1,941.31	$1,941.31
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $434.24 / $434.24 / $463.80	Professional	26	$434.24	$434.24	$463.80
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Professional	TC	$1,950.00	$1,950.00	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $304.82 / $437.49	Professional		$185.94	$304.82	$437.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.44 / $71.64 / $125.69	Professional	26	$57.44	$71.64	$125.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.73 / $206.97 / $308.30	Professional	TC	$124.73	$206.97	$308.30