Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.06 / $203.85 / $460.27	Facility	26	$135.06	$203.85	$460.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.37 / $450.35 / $570.38	Professional		$347.37	$450.35	$570.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $135.06 / $170.12	Professional	26	$85.00	$135.06	$170.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $238.13 / $317.75 / $385.24	Professional	TC	$238.13	$317.75	$385.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.54 / $62.54 / $77.97	Professional	26	$62.54	$62.54	$77.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.17 / $530.29 / $835.83	Professional		$248.17	$530.29	$835.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.81 / $131.40 / $212.87	Professional	26	$79.81	$131.40	$212.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.44 / $404.59 / $693.62	Professional	TC	$191.44	$404.59	$693.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.67 / $87.67 / $96.82	Facility	26	$87.67	$87.67	$96.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.37 / $539.42 / $904.14	Professional		$238.37	$539.42	$904.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.87 / $124.33 / $198.73	Professional	26	$71.87	$124.33	$198.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $166.21 / $402.81 / $737.19	Professional	TC	$166.21	$402.81	$737.19
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $775.84 / $775.84 / $792.16	Facility	26	$775.84	$775.84	$792.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,447.72 / $3,551.15 / $3,551.15	Professional		$3,447.72	$3,551.15	$3,551.15
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $665.40 / $665.40 / $683.93	Professional	26	$665.40	$665.40	$683.93
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 $293.33 / $485.42 / $753.70	Professional		$293.33	$485.42	$753.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.92 / $104.71 / $182.62	Professional	26	$84.92	$104.71	$182.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.18 / $341.06 / $567.34	Professional	TC	$206.18	$341.06	$567.34