Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.97 / $162.63 / $522.29	Facility	26	$148.97	$162.63	$522.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $551.41 / $1,280.63	Professional		$370.50	$551.41	$1,280.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.64 / $155.65 / $284.39	Professional	26	$103.64	$155.65	$284.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $299.00 / $373.63 / $580.49	Professional	TC	$299.00	$373.63	$580.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.08 / $292.37 / $521.38	Professional		$242.08	$292.37	$521.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.41 / $113.11 / $235.05	Professional	26	$75.41	$113.11	$235.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $449.00 / $449.00 / $449.00	Professional	TC	$449.00	$449.00	$449.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.53 / $749.36 / $1,122.22	Professional		$351.53	$749.36	$1,122.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.02 / $156.58 / $247.36	Professional	26	$97.02	$156.58	$247.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $286.51 / $591.29 / $932.40	Professional	TC	$286.51	$591.29	$932.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.09 / $105.09 / $116.17	Facility	26	$105.09	$105.09	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.79 / $708.87 / $1,389.69	Professional		$296.79	$708.87	$1,389.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $149.19 / $238.19	Professional	26	$86.34	$149.19	$238.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.00 / $529.39 / $1,234.27	Professional	TC	$223.00	$529.39	$1,234.27
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $935.44 / $935.44 / $950.80	Facility	26	$935.44	$935.44	$950.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,978.92 / $6,158.29 / $6,158.29	Professional		$5,978.92	$6,158.29	$6,158.29
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $733.09 / $733.09 / $824.33	Professional	26	$733.09	$733.09	$824.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,438.76 / $5,601.93 / $5,601.93	Professional	TC	$5,438.76	$5,601.93	$5,601.93
United Facility/Professional Professional Modifier Low / Median / High Price $368.52 / $660.23 / $1,054.25	Professional		$368.52	$660.23	$1,054.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.60 / $125.78 / $220.16	Professional	26	$100.60	$125.78	$220.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.57 / $459.06 / $893.78	Professional	TC	$259.57	$459.06	$893.78