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 / $271.18	Facility	26	$55.00	$98.00	$271.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.53 / $284.45 / $514.25	Professional		$234.53	$284.45	$514.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $57.84 / $145.55	Professional	26	$52.85	$57.84	$145.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $175.12 / $220.00 / $297.00	Professional	TC	$175.12	$220.00	$297.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.40 / $349.91 / $373.05	Professional		$244.40	$349.91	$373.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.46 / $60.68 / $125.85	Professional	26	$40.46	$60.68	$125.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.24 / $352.23 / $554.76	Professional		$188.24	$352.23	$554.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.88 / $84.55 / $138.12	Professional	26	$51.88	$84.55	$138.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $150.58 / $281.77 / $438.64	Professional	TC	$150.58	$281.77	$438.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.09 / $57.09 / $62.89	Facility	26	$57.09	$57.09	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.87 / $341.02 / $556.27	Professional		$198.87	$341.02	$556.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.74 / $80.94 / $129.43	Professional	26	$46.74	$80.94	$129.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.58 / $274.95 / $453.06	Professional	TC	$149.58	$274.95	$453.06
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $501.04 / $501.04 / $514.88	Facility	26	$501.04	$501.04	$514.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,817.09 / $1,871.61 / $1,931.70	Professional		$1,817.09	$1,871.61	$1,931.70
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $364.90 / $364.90 / $438.60	Professional	26	$364.90	$364.90	$438.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,526.12 / $1,571.91 / $1,571.91	Professional	TC	$1,526.12	$1,571.91	$1,571.91
United Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $294.92 / $491.54	Professional		$223.93	$294.92	$491.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.05 / $68.04 / $122.42	Professional	26	$55.05	$68.04	$122.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.23 / $230.80 / $391.04	Professional	TC	$167.23	$230.80	$391.04