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 $412.67 / $520.94 / $929.66	Professional		$412.67	$520.94	$929.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.70 / $164.09 / $312.33	Professional	26	$108.70	$164.09	$312.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.79 / $348.53 / $495.52	Professional	TC	$272.79	$348.53	$495.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $317.63 / $349.39 / $630.99	Professional		$317.63	$349.39	$630.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.69 / $125.53 / $250.45	Professional	26	$80.69	$125.53	$250.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $282.50 / $282.50 / $282.50	Professional	TC	$282.50	$282.50	$282.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $613.11 / $1,028.08	Professional		$294.39	$613.11	$1,028.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.40 / $177.22 / $272.38	Professional	26	$104.40	$177.22	$272.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $217.44 / $457.44 / $823.69	Professional	TC	$217.44	$457.44	$823.69
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 $283.20 / $655.16 / $1,371.98	Professional		$283.20	$655.16	$1,371.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.37 / $162.31 / $265.38	Professional	26	$94.37	$162.31	$265.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.42 / $461.70 / $1,145.14	Professional	TC	$189.42	$461.70	$1,145.14
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 $6,195.24 / $6,381.10 / $6,381.10	Professional		$6,195.24	$6,381.10	$6,381.10
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 $342.39 / $592.80 / $1,039.99	Professional		$342.39	$592.80	$1,039.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.43 / $134.62 / $234.58	Professional	26	$111.43	$134.62	$234.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.26 / $345.32 / $905.58	Professional	TC	$231.26	$345.32	$905.58