Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $97.72 / $302.00	Facility	26	$54.95	$97.72	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $436.52	Professional		$114.82	$213.80	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $85.11 / $208.93	Professional	26	$51.29	$85.11	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $204.17 / $323.59	Professional	TC	$112.20	$204.17	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $371.54	Professional		$194.98	$257.04	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $109.65	Professional	26	$40.74	$51.29	$109.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $144.54 / $295.12	Professional	TC	$102.33	$144.54	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $467.74	Professional		$154.88	$229.09	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $87.10 / $138.04	Professional	26	$54.95	$87.10	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $239.88 / $371.54	Professional	TC	$138.04	$239.88	$371.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $478.63	Professional		$165.96	$302.00	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $77.62 / $131.83	Professional	26	$47.86	$77.62	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $229.09 / $363.08	Professional	TC	$114.82	$229.09	$363.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	26	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $380.19 / $436.52 / $436.52	Professional	26	$380.19	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,348.96 / $1,348.96 / $1,380.38	Professional	TC	$1,348.96	$1,348.96	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $416.87	Professional		$181.97	$275.42	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $66.07 / $114.82	Professional	26	$53.70	$66.07	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $199.53 / $302.00	Professional	TC	$123.03	$199.53	$302.00