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 / $233.65	Facility	26	$55.00	$98.00	$233.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $275.00 / $422.44	Professional		$150.19	$275.00	$422.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.61 / $55.00 / $131.79	Professional	26	$46.61	$55.00	$131.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.98 / $220.00 / $249.70	Professional	TC	$111.98	$220.00	$249.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $238.83 / $296.14	Professional		$156.12	$238.83	$296.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $50.44 / $108.15	Professional	26	$34.79	$50.44	$108.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $80.73 / $80.73 / $80.73	Professional	TC	$80.73	$80.73	$80.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $280.27 / $404.54	Professional		$140.06	$280.27	$404.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.12 / $74.09 / $119.00	Professional	26	$44.12	$74.09	$119.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.80 / $211.39 / $304.29	Professional	TC	$109.80	$211.39	$304.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.19 / $49.19 / $54.02	Facility	26	$49.19	$49.19	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.81 / $265.00 / $434.95	Professional		$139.81	$265.00	$434.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.81 / $70.09 / $112.93	Professional	26	$40.81	$70.09	$112.93
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $264.19 / $264.19 / $264.19	Professional	50	$264.19	$264.19	$264.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.98 / $198.63 / $312.12	Professional	TC	$98.98	$198.63	$312.12
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $430.56 / $430.56 / $442.24	Facility	26	$430.56	$430.56	$442.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,378.78 / $1,420.14 / $1,420.14	Professional		$1,378.78	$1,420.14	$1,420.14
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $300.10 / $300.10 / $376.28	Professional	26	$300.10	$300.10	$376.28
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,103.98 / $1,137.09 / $1,137.09	Professional	TC	$1,103.98	$1,137.09	$1,137.09
United Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $237.33 / $373.57	Professional		$166.41	$237.33	$373.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.66 / $58.79 / $103.15	Professional	26	$47.66	$58.79	$103.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.44 / $169.36 / $302.27	Professional	TC	$117.44	$169.36	$302.27