Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.13 / $165.94 / $535.41	Facility	26	$156.13	$165.94	$535.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $551.70 / $1,064.76	Professional		$425.00	$551.70	$1,064.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.74 / $158.47 / $300.37	Professional	26	$104.74	$158.47	$300.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $300.08 / $369.35 / $575.08	Professional	TC	$300.08	$369.35	$575.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.98 / $522.84 / $835.24	Professional		$241.98	$522.84	$835.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.94 / $111.56 / $239.80	Professional	26	$76.94	$111.56	$239.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $165.04 / $165.04 / $165.04	Professional	TC	$165.04	$165.04	$165.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.26 / $751.89 / $1,135.25	Professional		$357.26	$751.89	$1,135.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.73 / $164.65 / $268.98	Professional	26	$99.73	$164.65	$268.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $284.70 / $587.57 / $932.41	Professional	TC	$284.70	$587.57	$932.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.73 / $107.73 / $118.86	Facility	26	$107.73	$107.73	$118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.33 / $718.35 / $1,400.44	Professional		$308.33	$718.35	$1,400.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.77 / $155.01 / $244.19	Professional	26	$89.77	$155.01	$244.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.26 / $526.14 / $1,237.04	Professional	TC	$221.26	$526.14	$1,237.04
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $954.08 / $954.08 / $973.04	Facility	26	$954.08	$954.08	$973.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.38 / $6,206.15 / $6,206.15	Professional		$6,025.38	$6,206.15	$6,206.15
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $891.52 / $891.52 / $891.52	Professional	26	$891.52	$891.52	$891.52
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,457.89 / $5,621.63 / $5,621.63	Professional	TC	$5,457.89	$5,621.63	$5,621.63
United Facility/Professional Professional Modifier Low / Median / High Price $364.89 / $648.57 / $1,117.78	Professional		$364.89	$648.57	$1,117.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.77 / $127.63 / $223.76	Professional	26	$103.77	$127.63	$223.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $261.95 / $449.04 / $895.79	Professional	TC	$261.95	$449.04	$895.79