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 $275.42 / $446.68 / $691.83	Professional		$275.42	$446.68	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $134.90 / $275.42	Professional	26	$83.18	$134.90	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $316.23 / $524.81	Professional	TC	$190.55	$316.23	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $70.79 / $158.49	Professional	26	$63.10	$70.79	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $794.33	Professional		$218.78	$354.81	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $134.90 / $213.80	Professional	26	$83.18	$134.90	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $389.05 / $691.83	Professional	TC	$204.17	$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 $257.04 / $537.03 / $891.25	Professional		$257.04	$537.03	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $120.23 / $204.17	Professional	26	$74.13	$120.23	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $398.11 / $707.95	Professional	TC	$181.97	$398.11	$707.95
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 $660.69 / $691.83 / $691.83	Professional	26	$660.69	$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 $288.40 / $478.63 / $758.58	Professional		$288.40	$478.63	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $100.00 / $177.83	Professional	26	$81.28	$100.00	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $338.84 / $549.54	Professional	TC	$199.53	$338.84	$549.54