Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.19 / $239.12 / $556.39	Facility	26	$172.19	$239.12	$556.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.87 / $519.97 / $943.06	Professional		$411.87	$519.97	$943.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.44 / $165.71 / $302.35	Professional	26	$114.44	$165.71	$302.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $271.99 / $349.09 / $532.14	Professional	TC	$271.99	$349.09	$532.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.99 / $629.73 / $697.38	Professional		$316.99	$629.73	$697.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.33 / $120.50 / $250.45	Professional	26	$80.33	$120.50	$250.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $281.63 / $281.63 / $281.63	Professional	TC	$281.63	$281.63	$281.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.14 / $617.72 / $1,081.05	Professional		$286.14	$617.72	$1,081.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.40 / $175.92 / $268.81	Professional	26	$104.40	$175.92	$268.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.92 / $466.94 / $882.04	Professional	TC	$218.92	$466.94	$882.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.95 / $111.95 / $124.22	Facility	26	$111.95	$111.95	$124.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.64 / $678.09 / $1,436.66	Professional		$282.64	$678.09	$1,436.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.37 / $164.56 / $265.29	Professional	26	$94.37	$164.56	$265.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.13 / $463.19 / $1,170.16	Professional	TC	$190.13	$463.19	$1,170.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $996.56 / $996.56 / $1,016.96	Facility	26	$996.56	$996.56	$1,016.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,199.75 / $6,385.74 / $6,385.74	Professional		$6,199.75	$6,385.74	$6,385.74
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $931.20 / $931.20 / $931.20	Professional	26	$931.20	$931.20	$931.20
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,551.18 / $5,717.71 / $5,717.71	Professional	TC	$5,551.18	$5,717.71	$5,717.71
United Facility/Professional Professional Modifier Low / Median / High Price $343.65 / $592.62 / $1,058.44	Professional		$343.65	$592.62	$1,058.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.43 / $134.76 / $236.18	Professional	26	$111.43	$134.76	$236.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.57 / $385.68 / $905.58	Professional	TC	$229.57	$385.68	$905.58