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 / $312.80	Facility	26	$55.00	$98.00	$312.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.66 / $275.00 / $430.26	Professional		$243.66	$275.00	$430.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $58.24 / $98.00	Professional	26	$52.46	$58.24	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.82 / $220.00 / $342.31	Professional	TC	$183.82	$220.00	$342.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.27 / $212.27 / $510.88	Professional		$212.27	$212.27	$510.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.17 / $66.36 / $132.08	Professional	26	$44.17	$66.36	$132.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.41 / $416.22 / $617.33	Professional		$208.41	$416.22	$617.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.74 / $89.34 / $144.93	Professional	26	$53.74	$89.34	$144.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.13 / $344.06 / $490.94	Professional	TC	$177.13	$344.06	$490.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.58 / $59.58 / $65.64	Facility	26	$59.58	$59.58	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.24 / $406.47 / $666.72	Professional		$219.24	$406.47	$666.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.82 / $85.03 / $135.80	Professional	26	$48.82	$85.03	$135.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.09 / $320.02 / $528.78	Professional	TC	$169.09	$320.02	$528.78
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $525.76 / $525.76 / $537.20	Facility	26	$525.76	$525.76	$537.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,195.67 / $2,261.56 / $2,261.56	Professional		$2,195.67	$2,261.56	$2,261.56
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $439.20 / $439.20 / $459.75	Professional	26	$439.20	$439.20	$459.75
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,890.23 / $1,946.93 / $1,946.93	Professional	TC	$1,890.23	$1,946.93	$1,946.93
United Facility/Professional Professional Modifier Low / Median / High Price $251.39 / $359.39 / $603.62	Professional		$251.39	$359.39	$603.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.44 / $71.64 / $125.70	Professional	26	$57.44	$71.64	$125.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.61 / $300.08 / $464.55	Professional	TC	$192.61	$300.08	$464.55