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 / $271.18	Facility	26	$55.00	$98.00	$271.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $275.00 / $381.02	Professional		$170.34	$275.00	$381.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $56.78 / $145.55	Professional	26	$52.85	$56.78	$145.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.13 / $220.00 / $279.66	Professional	TC	$126.13	$220.00	$279.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $373.05 / $373.05 / $373.05	Professional		$373.05	$373.05	$373.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.46 / $59.90 / $125.85	Professional	26	$40.46	$59.90	$125.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $256.75 / $256.75 / $256.75	Professional	TC	$256.75	$256.75	$256.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $337.89 / $491.53	Professional		$161.03	$337.89	$491.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.88 / $85.26 / $138.18	Professional	26	$51.88	$85.26	$138.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.88 / $251.18 / $370.14	Professional	TC	$126.88	$251.18	$370.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.09 / $57.09 / $62.89	Facility	26	$57.09	$57.09	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $308.07 / $497.31	Professional		$149.16	$308.07	$497.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.74 / $80.94 / $129.43	Professional	26	$46.74	$80.94	$129.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.88 / $237.31 / $365.95	Professional	TC	$110.88	$237.31	$365.95
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $501.04 / $501.04 / $514.88	Facility	26	$501.04	$501.04	$514.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,638.03 / $1,657.60 / $1,657.60	Professional		$1,638.03	$1,657.60	$1,657.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $376.34 / $376.34 / $438.60	Professional	26	$376.34	$376.34	$438.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,335.34 / $1,357.90 / $1,371.93	Professional	TC	$1,335.34	$1,357.90	$1,371.93
United Facility/Professional Professional Modifier Low / Median / High Price $182.92 / $280.27 / $436.09	Professional		$182.92	$280.27	$436.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.45 / $66.86 / $118.65	Professional	26	$54.45	$66.86	$118.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.66 / $198.35 / $305.67	Professional	TC	$125.66	$198.35	$305.67