Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $147.00 / $312.80	Facility	26	$55.00	$147.00	$312.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.91 / $275.00 / $424.51	Professional		$211.91	$275.00	$424.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $58.01 / $103.54	Professional	26	$52.78	$58.01	$103.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.07 / $220.00 / $337.38	Professional	TC	$152.07	$220.00	$337.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.04 / $66.01 / $131.40	Professional	26	$42.04	$66.01	$131.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.41 / $417.16 / $599.86	Professional		$194.41	$417.16	$599.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.46 / $89.46 / $144.87	Professional	26	$54.46	$89.46	$144.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $156.77 / $320.45 / $470.01	Professional	TC	$156.77	$320.45	$470.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.58 / $59.58 / $65.64	Facility	26	$59.58	$59.58	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.09 / $368.62 / $593.60	Professional		$172.09	$368.62	$593.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.82 / $85.03 / $135.05	Professional	26	$48.82	$85.03	$135.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.06 / $298.14 / $459.48	Professional	TC	$128.06	$298.14	$459.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $522.72 / $522.72 / $537.20	Facility	26	$522.72	$522.72	$537.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,019.70 / $2,082.64 / $2,082.64	Professional		$2,019.70	$2,082.64	$2,082.64
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $381.41 / $381.41 / $456.90	Professional	26	$381.41	$381.41	$456.90
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,705.05 / $1,754.89 / $1,802.98	Professional	TC	$1,705.05	$1,754.89	$1,802.98
United Facility/Professional Professional Modifier Low / Median / High Price $218.77 / $338.88 / $515.38	Professional		$218.77	$338.88	$515.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.10 / $71.26 / $127.97	Professional	26	$57.10	$71.26	$127.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.71 / $243.98 / $388.49	Professional	TC	$160.71	$243.98	$388.49