Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $436.52 / $489.78	Facility	26	$102.33	$436.52	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $549.54	Professional		$239.88	$316.23	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $91.20 / $204.17	Professional	26	$54.95	$91.20	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $218.78 / $389.05	Professional	TC	$158.49	$218.78	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	26	$169.82	$169.82	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $741.31	Professional		$234.42	$346.74	$741.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $218.78	Professional	26	$85.11	$138.04	$218.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $389.05 / $616.60	Professional	TC	$204.17	$389.05	$616.60
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 $275.42 / $457.09 / $831.76	Professional		$275.42	$457.09	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $117.49 / $199.53	Professional	26	$74.13	$117.49	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $354.81 / $645.65	Professional	TC	$194.98	$354.81	$645.65
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 $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $549.54 / $676.08 / $676.08	Professional	26	$549.54	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional	TC	$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $676.08	Professional		$295.12	$446.68	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $102.33 / $177.83	Professional	26	$83.18	$102.33	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $323.59 / $512.86	Professional	TC	$213.80	$323.59	$512.86