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 / $277.88	Facility	26	$55.00	$98.00	$277.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $275.00 / $368.50	Professional		$150.33	$275.00	$368.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.18 / $58.79 / $107.80	Professional	26	$54.18	$58.79	$107.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.52 / $201.31 / $227.00	Professional	TC	$89.52	$201.31	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $250.11 / $250.11	Professional		$135.96	$250.11	$250.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.27 / $51.58 / $128.94	Professional	26	$41.27	$51.58	$128.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.47 / $246.57 / $378.90	Professional		$116.47	$246.57	$378.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.56 / $86.63 / $141.58	Professional	26	$53.56	$86.63	$141.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.48 / $154.63 / $270.50	Professional	TC	$78.48	$154.63	$270.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.50 / $58.50 / $64.44	Facility	26	$58.50	$58.50	$64.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $255.48 / $441.98	Professional		$118.65	$255.48	$441.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.90 / $83.47 / $132.61	Professional	26	$47.90	$83.47	$132.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.38 / $163.38 / $309.00	Professional	TC	$70.38	$163.38	$309.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $513.44 / $513.44 / $527.60	Facility	26	$513.44	$513.44	$527.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.56 / $1,608.41 / $1,608.41	Professional		$1,561.56	$1,608.41	$1,608.41
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $386.35 / $386.35 / $449.18	Professional	26	$386.35	$386.35	$449.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,649.00 / $1,649.00 / $1,649.00	Professional	TC	$1,649.00	$1,649.00	$1,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.82 / $235.58 / $353.61	Professional		$139.82	$235.58	$353.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.11 / $69.95 / $121.98	Professional	26	$56.11	$69.95	$121.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.53 / $125.92 / $222.25	Professional	TC	$81.53	$125.92	$222.25