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 / $275.00 / $434.96	Professional		$161.99	$275.00	$434.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $55.00 / $135.00	Professional	26	$44.14	$55.00	$135.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.68 / $217.98 / $257.52	Professional	TC	$103.68	$217.98	$257.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.99 / $201.57 / $296.14	Professional		$116.99	$201.57	$296.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $43.26 / $108.15	Professional	26	$34.79	$43.26	$108.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $58.80 / $58.80 / $58.80	Professional	TC	$58.80	$58.80	$58.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $274.94 / $405.15	Professional		$127.25	$274.94	$405.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.99 / $77.68 / $119.04	Professional	26	$44.99	$77.68	$119.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.08 / $194.18 / $287.70	Professional	TC	$90.08	$194.18	$287.70
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 $116.29 / $266.95 / $430.75	Professional		$116.29	$266.95	$430.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $71.84 / $114.78	Professional	26	$40.17	$71.84	$114.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.34 / $189.73 / $324.25	Professional	TC	$83.34	$189.73	$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 $1,345.00 / $1,357.90 / $1,357.90	Professional	TC	$1,345.00	$1,357.90	$1,357.90
United Facility/Professional Professional Modifier Low / Median / High Price $144.02 / $239.34 / $352.01	Professional		$144.02	$239.34	$352.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.67 / $60.71 / $103.14	Professional	26	$47.67	$60.71	$103.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.03 / $153.00 / $237.30	Professional	TC	$95.03	$153.00	$237.30