Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.21 / $173.28 / $556.39	Facility	26	$164.21	$173.28	$556.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.07 / $519.00 / $924.51	Professional		$411.07	$519.00	$924.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.70 / $164.09 / $303.35	Professional	26	$108.70	$164.09	$303.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $271.19 / $347.56 / $519.45	Professional	TC	$271.19	$347.56	$519.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $313.75 / $696.00	Professional		$174.00	$313.75	$696.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.33 / $125.53 / $250.45	Professional	26	$80.33	$125.53	$250.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $74.87 / $74.87 / $280.76	Professional	TC	$74.87	$74.87	$280.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.62 / $607.99 / $1,063.77	Professional		$285.62	$607.99	$1,063.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.40 / $166.19 / $266.41	Professional	26	$104.40	$166.19	$266.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.31 / $463.80 / $880.96	Professional	TC	$218.31	$463.80	$880.96
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 $282.07 / $669.16 / $1,421.39	Professional		$282.07	$669.16	$1,421.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.37 / $162.71 / $254.49	Professional	26	$94.37	$162.71	$254.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.61 / $461.82 / $1,167.91	Professional	TC	$189.61	$461.82	$1,167.91
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 $6,146.58 / $6,330.97 / $6,330.97	Professional		$6,146.58	$6,330.97	$6,330.97
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $921.60 / $921.60 / $921.60	Professional	26	$921.60	$921.60	$921.60
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 $341.10 / $596.50 / $1,132.79	Professional		$341.10	$596.50	$1,132.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.42 / $134.62 / $235.38	Professional	26	$109.42	$134.62	$235.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.92 / $379.50 / $905.58	Professional	TC	$228.92	$379.50	$905.58