Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $112.20 / $380.19	Facility	26	$102.33	$112.20	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $954.99	Professional		$204.17	$398.11	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $120.23 / $251.19	Professional	26	$64.57	$120.23	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $239.88 / $489.78	Professional	TC	$125.89	$239.88	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $295.12	Professional		$134.90	$190.55	$295.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $162.18	Professional	26	$51.29	$66.07	$162.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $154.88 / $218.78	Professional	TC	$93.33	$154.88	$218.78
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 / $724.44	Professional		$181.97	$416.87	$724.44
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 / $562.34	Professional	TC	$117.49	$269.15	$562.34
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 $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $602.56 / $602.56 / $602.56	Professional	26	$602.56	$602.56	$602.56
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional	TC	$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $630.96	Professional		$204.17	$354.81	$630.96
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 / $467.74	Professional	TC	$128.82	$218.78	$467.74