Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.53 / $123.56 / $397.10	Facility	26	$111.53	$123.56	$397.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $502.52 / $811.22	Professional		$370.50	$502.52	$811.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $123.56 / $158.36	Professional	26	$85.00	$123.56	$158.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $299.00 / $371.31 / $485.75	Professional	TC	$299.00	$371.31	$485.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.56 / $227.60 / $624.53	Professional		$222.56	$227.60	$624.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $88.78 / $176.70	Professional	26	$56.82	$88.78	$176.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $165.74 / $165.74 / $325.77	Professional	TC	$165.74	$165.74	$325.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.22 / $590.96 / $853.60	Professional		$284.22	$590.96	$853.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.66 / $118.32 / $188.04	Professional	26	$71.66	$118.32	$188.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $246.69 / $464.77 / $693.91	Professional	TC	$246.69	$464.77	$693.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.90 / $79.90 / $88.30	Facility	26	$79.90	$79.90	$88.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.98 / $574.17 / $958.44	Professional		$276.98	$574.17	$958.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.67 / $114.17 / $185.14	Professional	26	$65.67	$114.17	$185.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $211.50 / $451.50 / $772.47	Professional	TC	$211.50	$451.50	$772.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $703.76 / $703.76 / $723.52	Facility	26	$703.76	$703.76	$723.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,348.15 / $3,448.60 / $3,448.60	Professional		$3,348.15	$3,448.60	$3,448.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $586.14 / $586.14 / $616.42	Professional	26	$586.14	$586.14	$616.42
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,941.88 / $3,030.13 / $3,030.13	Professional	TC	$2,941.88	$3,030.13	$3,030.13
United Facility/Professional Professional Modifier Low / Median / High Price $341.65 / $505.70 / $777.20	Professional		$341.65	$505.70	$777.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.87 / $95.84 / $171.60	Professional	26	$77.87	$95.84	$171.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.72 / $385.58 / $617.55	Professional	TC	$257.72	$385.58	$617.55