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 $131.79 / $266.64 / $447.48	Professional		$131.79	$266.64	$447.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.63 / $55.00 / $157.82	Professional	26	$44.63	$55.00	$157.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $708.87 / $869.92 / $1,522.00	Professional	50	$708.87	$869.92	$1,522.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.10 / $217.98 / $257.52	Professional	TC	$104.10	$217.98	$257.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $141.88 / $296.14	Professional		$58.64	$141.88	$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 $59.03 / $59.03 / $116.03	Professional	TC	$59.03	$59.03	$116.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.93 / $275.43 / $397.82	Professional		$126.93	$275.43	$397.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.12 / $74.59 / $119.00	Professional	26	$44.12	$74.59	$119.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.79 / $194.18 / $286.16	Professional	TC	$93.79	$194.18	$286.16
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 $116.58 / $260.29 / $403.42	Professional		$116.58	$260.29	$403.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.53 / $70.09 / $112.93	Professional	26	$40.53	$70.09	$112.93
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $264.70 / $264.70 / $264.70	Professional	50	$264.70	$264.70	$264.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.67 / $186.27 / $295.92	Professional	TC	$83.67	$186.27	$295.92
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 $1,332.00 / $1,332.00 / $1,332.00	Professional	TC	$1,332.00	$1,332.00	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.76 / $233.94 / $346.16	Professional		$144.76	$233.94	$346.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.67 / $58.79 / $102.50	Professional	26	$47.67	$58.79	$102.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.61 / $161.55 / $235.41	Professional	TC	$97.61	$161.55	$235.41