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 $183.10 / $275.00 / $350.59	Professional		$183.10	$275.00	$350.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $58.01 / $158.27	Professional	26	$52.78	$58.01	$158.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.14 / $220.00 / $280.68	Professional	TC	$123.14	$220.00	$280.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.48 / $95.56 / $132.08	Professional	26	$42.48	$95.56	$132.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.26 / $343.80 / $496.58	Professional		$163.26	$343.80	$496.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.74 / $89.46 / $140.15	Professional	26	$53.74	$89.46	$140.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.89 / $250.10 / $368.71	Professional	TC	$119.89	$250.10	$368.71
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 $151.69 / $331.81 / $523.98	Professional		$151.69	$331.81	$523.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.07 / $85.03 / $135.80	Professional	26	$49.07	$85.03	$135.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.00 / $244.22 / $392.60	Professional	TC	$110.00	$244.22	$392.60
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 $1,906.00 / $1,906.00 / $1,906.00	Professional	TC	$1,906.00	$1,906.00	$1,906.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.29 / $295.68 / $451.38	Professional		$184.29	$295.68	$451.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.44 / $71.64 / $125.70	Professional	26	$57.44	$71.64	$125.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.05 / $205.04 / $306.39	Professional	TC	$124.05	$205.04	$306.39