Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.21 / $135.06 / $460.27	Facility	26	$134.21	$135.06	$460.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.39 / $456.97 / $579.20	Professional		$353.39	$456.97	$579.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.02 / $134.22 / $170.12	Professional	26	$85.02	$134.22	$170.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.75 / $322.75 / $409.08	Professional	TC	$243.75	$322.75	$409.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.77 / $70.09 / $98.08	Professional	26	$62.77	$70.09	$98.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.97 / $527.55 / $861.90	Professional		$250.97	$527.55	$861.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.58 / $134.44 / $207.16	Professional	26	$80.58	$134.44	$207.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.70 / $413.97 / $695.78	Professional	TC	$192.70	$413.97	$695.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.67 / $87.67 / $97.16	Facility	26	$87.67	$87.67	$97.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.63 / $546.33 / $917.98	Professional		$242.63	$546.33	$917.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.86 / $124.79 / $199.05	Professional	26	$73.86	$124.79	$199.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.11 / $409.78 / $746.44	Professional	TC	$168.11	$409.78	$746.44
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $778.96 / $778.96 / $795.36	Facility	26	$778.96	$778.96	$795.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,482.54 / $3,587.02 / $3,587.02	Professional		$3,482.54	$3,587.02	$3,587.02
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $642.27 / $642.27 / $686.78	Professional	26	$642.27	$642.27	$686.78
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,996.90 / $3,086.80 / $3,086.80	Professional	TC	$2,996.90	$3,086.80	$3,086.80
United Facility/Professional Professional Modifier Low / Median / High Price $292.54 / $514.87 / $787.39	Professional		$292.54	$514.87	$787.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.26 / $105.10 / $183.34	Professional	26	$85.26	$105.10	$183.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.93 / $344.33 / $581.52	Professional	TC	$205.93	$344.33	$581.52