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 / $484.68	Facility	26	$55.00	$98.00	$484.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $325.00 / $480.94	Professional		$275.00	$325.00	$480.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $87.48 / $163.16	Professional	26	$55.00	$87.48	$163.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,713.24 / $1,838.16 / $2,960.00	Professional	50	$1,713.24	$1,838.16	$2,960.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.13 / $227.00 / $350.77	Professional	TC	$187.13	$227.00	$350.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $581.41 / $581.41 / $581.41	Professional		$581.41	$581.41	$581.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.88 / $115.29 / $205.33	Professional	26	$65.88	$115.29	$205.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.61 / $568.85 / $820.13	Professional		$280.61	$568.85	$820.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.59 / $138.49 / $224.90	Professional	26	$84.59	$138.49	$224.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $222.07 / $428.27 / $629.21	Professional	TC	$222.07	$428.27	$629.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.32 / $92.32 / $101.96	Facility	26	$92.32	$92.32	$101.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $523.84 / $869.17	Professional		$284.13	$523.84	$869.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.73 / $131.02 / $207.16	Professional	26	$75.73	$131.02	$207.16
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $523.66 / $523.66 / $523.66	Professional	50	$523.66	$523.66	$523.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.37 / $401.92 / $675.76	Professional	TC	$203.37	$401.92	$675.76
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $816.32 / $816.32 / $833.76	Facility	26	$816.32	$816.32	$833.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,878.66 / $2,965.02 / $2,965.02	Professional		$2,878.66	$2,965.02	$2,965.02
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $561.99 / $561.99 / $717.75	Professional	26	$561.99	$561.99	$717.75
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,400.63 / $2,472.65 / $2,472.65	Professional	TC	$2,400.63	$2,472.65	$2,472.65
United Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $446.29 / $750.37	Professional		$329.11	$446.29	$750.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.28 / $110.29 / $192.00	Professional	26	$89.28	$110.29	$192.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $238.41 / $363.01 / $557.25	Professional	TC	$238.41	$363.01	$557.25