Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.25 / $422.55 / $446.36	Facility	26	$131.25	$422.55	$446.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.57 / $450.19 / $570.62	Professional		$345.57	$450.19	$570.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $130.43 / $155.65	Professional	26	$85.00	$130.43	$155.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.34 / $319.76 / $393.48	Professional	TC	$239.34	$319.76	$393.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $62.89 / $75.03	Professional	26	$62.89	$62.89	$75.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.82 / $610.11 / $898.33	Professional		$279.82	$610.11	$898.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.29 / $128.19 / $201.38	Professional	26	$78.29	$128.19	$201.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.89 / $475.64 / $714.66	Professional	TC	$224.89	$475.64	$714.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.02 / $85.02 / $93.41	Facility	26	$85.02	$85.02	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.72 / $559.16 / $901.40	Professional		$236.72	$559.16	$901.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.48 / $120.81 / $193.50	Professional	26	$69.48	$120.81	$193.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.72 / $417.04 / $762.95	Professional	TC	$182.72	$417.04	$762.95
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $746.48 / $746.48 / $764.32	Facility	26	$746.48	$746.48	$764.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,389.77 / $3,491.47 / $3,491.47	Professional		$3,389.77	$3,491.47	$3,491.47
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $657.14 / $657.14 / $657.14	Professional	26	$657.14	$657.14	$657.14
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,953.83 / $3,042.45 / $3,042.45	Professional	TC	$2,953.83	$3,042.45	$3,042.45
United Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $515.10 / $745.00	Professional		$287.83	$515.10	$745.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.57 / $101.78 / $177.56	Professional	26	$82.57	$101.78	$177.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.98 / $364.70 / $578.35	Professional	TC	$203.98	$364.70	$578.35