Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.97 / $161.62 / $522.29	Facility	26	$148.97	$161.62	$522.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.25 / $640.00 / $1,213.95	Professional		$424.25	$640.00	$1,213.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.26 / $155.65 / $274.75	Professional	26	$105.26	$155.65	$274.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $309.00 / $484.96 / $673.63	Professional	TC	$309.00	$484.96	$673.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.42 / $630.03 / $823.95	Professional		$352.42	$630.03	$823.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.41 / $109.34 / $235.05	Professional	26	$75.41	$109.34	$235.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.50 / $780.84 / $1,198.35	Professional		$384.50	$780.84	$1,198.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.05 / $156.26 / $249.47	Professional	26	$96.05	$156.26	$249.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $322.20 / $647.71 / $983.26	Professional	TC	$322.20	$647.71	$983.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.09 / $105.09 / $116.52	Facility	26	$105.09	$105.09	$116.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.64 / $758.57 / $1,393.98	Professional		$358.64	$758.57	$1,393.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.60 / $150.28 / $238.94	Professional	26	$86.60	$150.28	$238.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $277.74 / $600.29 / $1,234.27	Professional	TC	$277.74	$600.29	$1,234.27
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $935.44 / $935.44 / $953.92	Facility	26	$935.44	$935.44	$953.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,981.06 / $6,160.49 / $6,160.49	Professional		$5,981.06	$6,160.49	$6,160.49
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $672.78 / $672.78 / $824.33	Professional	26	$672.78	$672.78	$824.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,438.76 / $5,601.93 / $5,601.93	Professional	TC	$5,438.76	$5,601.93	$5,601.93
United Facility/Professional Professional Modifier Low / Median / High Price $452.44 / $712.73 / $1,144.28	Professional		$452.44	$712.73	$1,144.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.93 / $126.17 / $221.36	Professional	26	$100.93	$126.17	$221.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $346.64 / $584.41 / $893.78	Professional	TC	$346.64	$584.41	$893.78