Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $418.48 / $462.53	Facility	26	$55.00	$418.48	$462.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.89 / $313.00 / $474.48	Professional		$271.89	$313.00	$474.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $83.23 / $128.65	Professional	26	$55.00	$83.23	$128.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $184.17 / $220.00 / $350.77	Professional	TC	$184.17	$220.00	$350.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.12 / $158.80 / $158.80	Professional	26	$78.12	$158.80	$158.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.72 / $510.88 / $776.70	Professional		$255.72	$510.88	$776.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.59 / $132.53 / $214.69	Professional	26	$79.59	$132.53	$214.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.56 / $385.12 / $600.49	Professional	TC	$191.56	$385.12	$600.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.10 / $88.10 / $96.97	Facility	26	$88.10	$88.10	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.02 / $490.07 / $877.73	Professional		$268.02	$490.07	$877.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.90 / $124.96 / $197.69	Professional	26	$72.90	$124.96	$197.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.29 / $381.50 / $682.18	Professional	TC	$190.29	$381.50	$682.18
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $776.08 / $776.08 / $792.40	Facility	26	$776.08	$776.08	$792.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,081.89 / $3,174.35 / $3,174.35	Professional		$3,081.89	$3,174.35	$3,174.35
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $554.78 / $554.78 / $683.18	Professional	26	$554.78	$554.78	$683.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,625.91 / $2,704.69 / $2,704.69	Professional	TC	$2,625.91	$2,704.69	$2,704.69
United Facility/Professional Professional Modifier Low / Median / High Price $299.13 / $450.48 / $696.92	Professional		$299.13	$450.48	$696.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.34 / $105.23 / $184.62	Professional	26	$84.34	$105.23	$184.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.44 / $328.36 / $530.35	Professional	TC	$211.44	$328.36	$530.35