Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $295.55 / $326.66	Facility	26	$55.00	$295.55	$326.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.01 / $275.00 / $405.50	Professional		$215.01	$275.00	$405.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $60.02 / $99.00	Professional	26	$54.56	$60.02	$99.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.02 / $220.00 / $325.76	Professional	TC	$141.02	$220.00	$325.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.09 / $68.98 / $137.43	Professional	26	$46.09	$68.98	$137.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.01 / $411.06 / $596.42	Professional		$198.01	$411.06	$596.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $92.56 / $147.13	Professional	26	$56.84	$92.56	$147.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.43 / $310.27 / $455.08	Professional	TC	$153.43	$310.27	$455.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.22 / $62.22 / $68.70	Facility	26	$62.22	$62.22	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.85 / $389.02 / $635.24	Professional		$175.85	$389.02	$635.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.00 / $88.80 / $141.04	Professional	26	$51.00	$88.80	$141.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.63 / $301.31 / $491.35	Professional	TC	$135.63	$301.31	$491.35
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $546.72 / $546.72 / $561.91	Facility	26	$546.72	$546.72	$561.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,293.84 / $2,362.66 / $2,362.66	Professional		$2,293.84	$2,362.66	$2,362.66
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $523.40 / $523.40 / $523.40	Professional	26	$523.40	$523.40	$523.40
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,412.00 / $2,412.00 / $2,412.00	Professional	TC	$2,412.00	$2,412.00	$2,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $358.06 / $527.19	Professional		$216.49	$358.06	$527.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.08 / $74.20 / $133.62	Professional	26	$60.08	$74.20	$133.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $256.88 / $369.86	Professional	TC	$151.36	$256.88	$369.86