Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $112.20 / $380.19	Facility	26	$95.50	$112.20	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $426.58 / $1,000.00	Professional		$208.93	$426.58	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $114.82 / $263.03	Professional	26	$66.07	$114.82	$263.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $123.03 / $199.53 / $870.96	Professional	52	$123.03	$199.53	$870.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $251.19 / $562.34	Professional	TC	$125.89	$251.19	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $316.23	Professional		$134.90	$190.55	$316.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $128.82	Professional	26	$51.29	$67.61	$128.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $144.54 / $199.53	Professional	TC	$89.13	$144.54	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $616.60	Professional		$151.36	$245.47	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $114.82 / $177.83	Professional	26	$70.79	$114.82	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $257.04 / $512.86	Professional	TC	$131.83	$257.04	$512.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $416.87 / $707.95	Professional		$181.97	$416.87	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $181.97	Professional	26	$61.66	$100.00	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $269.15 / $549.54	Professional	TC	$117.49	$269.15	$549.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	26	$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Professional	26	$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional	TC	$2,570.40	$2,570.40	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $602.56	Professional		$204.17	$354.81	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $87.10 / $147.91	Professional	26	$69.18	$87.10	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $218.78 / $446.68	Professional	TC	$128.82	$218.78	$446.68