Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.68 / $433.48 / $457.91	Facility	26	$134.68	$433.48	$457.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.62 / $517.29 / $640.00	Professional		$410.62	$517.29	$640.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $134.68 / $169.64	Professional	26	$85.00	$134.68	$169.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $388.17 / $488.08	Professional	TC	$282.87	$388.17	$488.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $157.57 / $157.57 / $157.57	Professional	26	$157.57	$157.57	$157.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.36 / $615.53 / $939.42	Professional		$299.36	$615.53	$939.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $130.83 / $212.58	Professional	26	$78.81	$130.83	$212.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.89 / $515.85 / $787.64	Professional	TC	$257.89	$515.85	$787.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.22 / $87.22 / $96.55	Facility	26	$87.22	$87.22	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.16 / $573.70 / $915.79	Professional		$297.16	$573.70	$915.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.77 / $124.44 / $197.67	Professional	26	$71.77	$124.44	$197.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.15 / $449.86 / $742.54	Professional	TC	$222.15	$449.86	$742.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $776.00 / $776.00 / $789.92	Facility	26	$776.00	$776.00	$789.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,014.38 / $3,039.70 / $3,039.70	Professional		$3,014.38	$3,039.70	$3,039.70
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $597.70 / $597.70 / $683.48	Professional	26	$597.70	$597.70	$683.48
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,544.17 / $2,573.94 / $2,613.88	Professional	TC	$2,544.17	$2,573.94	$2,613.88
United Facility/Professional Professional Modifier Low / Median / High Price $361.43 / $509.51 / $797.82	Professional		$361.43	$509.51	$797.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.68 / $104.41 / $183.37	Professional	26	$83.68	$104.41	$183.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $270.88 / $407.61 / $627.82	Professional	TC	$270.88	$407.61	$627.82