Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.13 / $154.36 / $362.31	Facility	26	$111.13	$154.36	$362.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $425.00 / $658.78	Professional		$262.00	$425.00	$658.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $112.56 / $195.08	Professional	26	$85.00	$112.56	$195.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $122.46 / $158.55 / $237.50	Professional	52	$122.46	$158.55	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.27 / $226.62 / $369.35	Professional	TC	$170.27	$226.62	$369.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $189.26 / $370.85	Professional		$137.63	$189.26	$370.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.80 / $75.12 / $161.22	Professional	26	$51.80	$75.12	$161.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $85.84 / $168.73 / $220.00	Professional	TC	$85.84	$168.73	$220.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $384.05 / $679.57	Professional		$169.08	$384.05	$679.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.73 / $112.31 / $176.44	Professional	26	$66.73	$112.31	$176.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.65 / $264.17 / $545.49	Professional	TC	$123.65	$264.17	$545.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.90 / $72.90 / $80.26	Facility	26	$72.90	$72.90	$80.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $410.13 / $733.26	Professional		$165.60	$410.13	$733.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.13 / $105.97 / $169.93	Professional	26	$61.13	$105.97	$169.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.41 / $265.99 / $614.57	Professional	TC	$107.41	$265.99	$614.57
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $641.91 / $641.91 / $656.72	Facility	26	$641.91	$641.91	$656.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,901.82 / $2,988.88 / $2,988.88	Professional		$2,901.82	$2,988.88	$2,988.88
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $558.07 / $558.07 / $563.25	Professional	26	$558.07	$558.07	$563.25
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,498.98 / $2,573.94 / $2,573.94	Professional	TC	$2,498.98	$2,573.94	$2,573.94
United Facility/Professional Professional Modifier Low / Median / High Price $205.07 / $351.84 / $595.14	Professional		$205.07	$351.84	$595.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.91 / $87.23 / $152.30	Professional	26	$71.91	$87.23	$152.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.81 / $227.66 / $444.64	Professional	TC	$132.81	$227.66	$444.64