Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $457.09 / $489.78	Facility	26	$251.19	$457.09	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $831.76	Professional		$338.84	$501.19	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $131.83 / $251.19	Professional	26	$85.11	$131.83	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $371.54 / $616.60	Professional	TC	$257.04	$371.54	$616.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Professional	26	$70.79	$70.79	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $891.25	Professional		$302.00	$426.58	$891.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $134.90 / $213.80	Professional	26	$85.11	$134.90	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $501.19 / $794.33	Professional	TC	$275.42	$501.19	$794.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $891.25	Professional		$323.59	$562.34	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $120.23 / $213.80	Professional	26	$74.13	$120.23	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $446.68 / $707.95	Professional	TC	$239.88	$446.68	$707.95
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $851.14 / $851.14 / $851.14	Professional	26	$851.14	$851.14	$851.14
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,570.40 / $2,570.40 / $2,630.27	Professional	TC	$2,570.40	$2,570.40	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $794.33	Professional		$354.81	$501.19	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $102.33 / $177.83	Professional	26	$83.18	$102.33	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $398.11 / $602.56	Professional	TC	$269.15	$398.11	$602.56