Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.34 / $163.13 / $523.89	Facility	26	$148.34	$163.13	$523.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.12 / $605.59 / $1,112.97	Professional		$401.12	$605.59	$1,112.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.97 / $155.58 / $238.70	Professional	26	$103.97	$155.58	$238.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $305.00 / $449.47 / $590.45	Professional	TC	$305.00	$449.47	$590.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $774.59 / $774.59	Professional		$416.30	$774.59	$774.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.41 / $117.83 / $235.05	Professional	26	$75.41	$117.83	$235.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $255.36 / $255.36 / $255.36	Professional	TC	$255.36	$255.36	$255.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.80 / $733.86 / $1,142.86	Professional		$347.80	$733.86	$1,142.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.05 / $158.37 / $250.22	Professional	26	$96.05	$158.37	$250.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $298.61 / $575.85 / $930.15	Professional	TC	$298.61	$575.85	$930.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.41 / $105.41 / $116.87	Facility	26	$105.41	$105.41	$116.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.80 / $746.94 / $1,390.18	Professional		$343.80	$746.94	$1,390.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.87 / $150.28 / $238.94	Professional	26	$86.87	$150.28	$238.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.74 / $573.66 / $1,162.67	Professional	TC	$257.74	$573.66	$1,162.67
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $935.44 / $935.44 / $957.12	Facility	26	$935.44	$935.44	$957.12
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 $883.52 / $894.00 / $894.00	Professional	26	$883.52	$894.00	$894.00
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 $422.34 / $701.58 / $1,109.27	Professional		$422.34	$701.58	$1,109.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.12 / $124.34 / $221.54	Professional	26	$99.12	$124.34	$221.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $319.35 / $518.03 / $893.78	Professional	TC	$319.35	$518.03	$893.78