Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $457.09 / $478.63	Facility	26	$251.19	$457.09	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $707.95	Professional		$281.84	$457.09	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $275.42	Professional	26	$85.11	$141.25	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $323.59 / $512.86	Professional	TC	$194.98	$323.59	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $77.62 / $141.25	Professional	26	$63.10	$77.62	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $812.83	Professional		$223.87	$354.81	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $213.80	Professional	26	$85.11	$138.04	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $389.05 / $691.83	Professional	TC	$208.93	$389.05	$691.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $549.54 / $891.25	Professional		$263.03	$549.54	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $120.23 / $213.80	Professional	26	$74.13	$120.23	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $407.38 / $724.44	Professional	TC	$186.21	$407.38	$724.44
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $645.65 / $691.83 / $691.83	Professional	26	$645.65	$691.83	$691.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional	TC	$3,090.30	$3,090.30	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $776.25	Professional		$295.12	$489.78	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $104.71 / $177.83	Professional	26	$83.18	$104.71	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $346.74 / $562.34	Professional	TC	$204.17	$346.74	$562.34