Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $309.03 / $346.74	Facility	26	$102.33	$309.03	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $446.68	Professional		$186.21	$275.42	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $128.82	Professional	26	$51.29	$64.57	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $213.80 / $354.81	Professional	TC	$131.83	$213.80	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $194.98	Professional		$131.83	$131.83	$194.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $54.95 / $70.79	Professional	26	$44.67	$54.95	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $562.34	Professional		$186.21	$275.42	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $95.50 / $151.36	Professional	26	$60.26	$95.50	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $295.12 / $467.74	Professional	TC	$169.82	$295.12	$467.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $602.56	Professional		$199.53	$371.54	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $144.54	Professional	26	$52.48	$85.11	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $295.12 / $478.63	Professional	TC	$141.25	$295.12	$478.63
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	26	$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	26	$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional	TC	$2,398.83	$2,398.83	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $512.86	Professional		$213.80	$354.81	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $125.89	Professional	26	$57.54	$70.79	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $251.19 / $380.19	Professional	TC	$151.36	$251.19	$380.19