Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.81 / $110.24 / $356.20	Facility	26	$100.81	$110.24	$356.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.63 / $450.00 / $939.34	Professional		$317.63	$450.00	$939.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $110.92 / $198.85	Professional	26	$85.00	$110.92	$198.85
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $125.00 / $191.75 / $262.50	Professional	52	$125.00	$191.75	$262.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.82 / $287.76 / $445.30	Professional	TC	$204.82	$287.76	$445.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.53 / $247.51 / $353.27	Professional		$225.53	$247.51	$353.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.15 / $79.78 / $158.93	Professional	26	$52.15	$79.78	$158.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $112.97 / $112.97 / $112.97	Professional	TC	$112.97	$112.97	$112.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $535.19 / $812.98	Professional		$246.52	$535.19	$812.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.55 / $107.51 / $174.16	Professional	26	$65.55	$107.51	$174.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.38 / $441.59 / $644.55	Professional	TC	$199.38	$441.59	$644.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.67 / $71.67 / $79.45	Facility	26	$71.67	$71.67	$79.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $489.35 / $785.36	Professional		$209.00	$489.35	$785.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.00 / $102.37 / $162.50	Professional	26	$59.00	$102.37	$162.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $157.37 / $359.51 / $664.05	Professional	TC	$157.37	$359.51	$664.05
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $632.64 / $632.64 / $650.32	Facility	26	$632.64	$632.64	$650.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,918.81 / $3,507.01 / $3,612.22	Professional		$2,918.81	$3,507.01	$3,612.22
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $571.29 / $571.29 / $571.29	Professional	26	$571.29	$571.29	$571.29
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,477.29 / $2,539.44 / $2,545.16	Professional	TC	$2,477.29	$2,539.44	$2,545.16
United Facility/Professional Professional Modifier Low / Median / High Price $246.50 / $437.03 / $646.27	Professional		$246.50	$437.03	$646.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.81 / $85.97 / $154.78	Professional	26	$69.81	$85.97	$154.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.62 / $324.02 / $502.27	Professional	TC	$179.62	$324.02	$502.27