Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.86 / $141.51 / $331.65	Facility	26	$92.86	$141.51	$331.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $420.86 / $856.73	Professional		$207.42	$420.86	$856.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.86 / $110.50 / $282.33	Professional	26	$82.86	$110.50	$282.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.22 / $252.40 / $252.40	Professional	50	$141.22	$252.40	$252.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $125.00 / $167.06 / $244.18	Professional	52	$125.00	$167.06	$244.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $259.35 / $451.08	Professional	TC	$187.50	$259.35	$451.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $237.80 / $389.74	Professional		$146.33	$237.80	$389.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.37 / $65.13 / $147.35	Professional	26	$47.37	$65.13	$147.35
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $98.96 / $153.10 / $252.00	Professional	TC	$98.96	$153.10	$252.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $373.55 / $716.28	Professional		$178.17	$373.55	$716.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.18 / $100.17 / $157.44	Professional	26	$61.18	$100.17	$157.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.15 / $285.85 / $600.12	Professional	TC	$138.15	$285.85	$600.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.73 / $66.73 / $73.64	Facility	26	$66.73	$66.73	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.41 / $431.12 / $725.00	Professional		$179.41	$431.12	$725.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.10 / $95.27 / $151.28	Professional	26	$55.10	$95.27	$151.28
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $343.71 / $343.71 / $343.71	Professional	50	$343.71	$343.71	$343.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.33 / $300.14 / $616.40	Professional	TC	$121.33	$300.14	$616.40
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $586.88 / $586.88 / $603.28	Facility	26	$586.88	$586.88	$603.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,791.06 / $2,873.43 / $2,873.43	Professional		$2,791.06	$2,873.43	$2,873.43
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $525.38 / $525.38 / $525.38	Professional	26	$525.38	$525.38	$525.38
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,451.15 / $2,524.69 / $2,524.69	Professional	TC	$2,451.15	$2,524.69	$2,524.69
United Facility/Professional Professional Modifier Low / Median / High Price $216.15 / $357.26 / $579.59	Professional		$216.15	$357.26	$579.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.75 / $79.36 / $138.58	Professional	26	$63.75	$79.36	$138.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.97 / $212.07 / $436.85	Professional	TC	$148.97	$212.07	$436.85