Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $98.00 / $253.70	Facility	26	$55.00	$98.00	$253.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $275.00 / $374.35	Professional		$146.04	$275.00	$374.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $55.00 / $143.37	Professional	26	$49.60	$55.00	$143.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.58 / $202.76 / $227.00	Professional	TC	$90.58	$202.76	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $243.88 / $291.68	Professional		$132.40	$243.88	$291.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.95 / $52.18 / $96.01	Professional	26	$37.95	$52.18	$96.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $238.54 / $364.74	Professional		$113.63	$238.54	$364.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.34 / $79.56 / $129.97	Professional	26	$48.34	$79.56	$129.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.38 / $157.10 / $271.75	Professional	TC	$79.38	$157.10	$271.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.41 / $53.41 / $59.04	Facility	26	$53.41	$53.41	$59.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $252.27 / $434.40	Professional		$115.33	$252.27	$434.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.83 / $75.92 / $121.06	Professional	26	$43.83	$75.92	$121.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.52 / $165.33 / $315.00	Professional	TC	$71.52	$165.33	$315.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $470.00 / $470.00 / $482.96	Facility	26	$470.00	$470.00	$482.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,593.12 / $1,640.91 / $1,640.91	Professional		$1,593.12	$1,640.91	$1,640.91
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $325.83 / $325.83 / $412.05	Professional	26	$325.83	$325.83	$412.05
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,318.35 / $1,357.90 / $1,357.90	Professional	TC	$1,318.35	$1,357.90	$1,357.90
United Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $219.04 / $356.08	Professional		$136.37	$219.04	$356.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.69 / $63.85 / $112.03	Professional	26	$51.69	$63.85	$112.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.88 / $136.60 / $223.62	Professional	TC	$82.88	$136.60	$223.62