Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.86 / $102.28 / $348.60	Facility	26	$92.86	$102.28	$348.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.06 / $450.00 / $871.24	Professional		$360.06	$450.00	$871.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.86 / $102.91 / $166.94	Professional	26	$82.86	$102.91	$166.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $277.20 / $332.33 / $445.30	Professional	TC	$277.20	$332.33	$445.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $349.70 / $599.41	Professional		$215.20	$349.70	$599.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.37 / $68.69 / $147.35	Professional	26	$47.37	$68.69	$147.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.31 / $567.54 / $818.25	Professional		$280.31	$567.54	$818.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.51 / $99.65 / $156.11	Professional	26	$60.51	$99.65	$156.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $248.50 / $477.44 / $699.01	Professional	TC	$248.50	$477.44	$699.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.40 / $66.40 / $73.64	Facility	26	$66.40	$66.40	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $520.89 / $819.75	Professional		$266.52	$520.89	$819.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.74 / $95.02 / $153.82	Professional	26	$54.74	$95.02	$153.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.79 / $438.62 / $702.46	Professional	TC	$213.79	$438.62	$702.46
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $586.88 / $586.88 / $603.28	Facility	26	$586.88	$586.88	$603.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,819.97 / $2,873.43 / $2,873.43	Professional		$2,819.97	$2,873.43	$2,873.43
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $469.00 / $469.00 / $514.35	Professional	26	$469.00	$469.00	$514.35
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,495.53 / $2,524.69 / $2,563.91	Professional	TC	$2,495.53	$2,524.69	$2,563.91
United Facility/Professional Professional Modifier Low / Median / High Price $325.36 / $467.80 / $742.83	Professional		$325.36	$467.80	$742.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.44 / $79.59 / $139.65	Professional	26	$64.44	$79.59	$139.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $265.95 / $387.49 / $589.40	Professional	TC	$265.95	$387.49	$589.40