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 / $296.20	Facility	26	$55.00	$98.00	$296.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.21 / $303.77 / $492.00	Professional		$239.21	$303.77	$492.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $64.06 / $165.09	Professional	26	$55.00	$64.06	$165.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.45 / $227.00 / $328.82	Professional	TC	$174.45	$227.00	$328.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $341.25 / $356.35 / $381.91	Professional		$341.25	$356.35	$381.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.37 / $64.34 / $138.13	Professional	26	$44.37	$64.34	$138.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $154.38 / $269.83 / $269.83	Professional	TC	$154.38	$269.83	$269.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.06 / $374.77 / $565.53	Professional		$191.06	$374.77	$565.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.98 / $93.47 / $147.88	Professional	26	$56.98	$93.47	$147.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $150.05 / $293.52 / $421.92	Professional	TC	$150.05	$293.52	$421.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.36 / $62.36 / $69.05	Facility	26	$62.36	$62.36	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.66 / $349.03 / $595.35	Professional		$202.66	$349.03	$595.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.27 / $89.01 / $141.35	Professional	26	$51.27	$89.01	$141.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $148.44 / $274.85 / $467.38	Professional	TC	$148.44	$274.85	$467.38
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $549.76 / $549.76 / $565.04	Facility	26	$549.76	$549.76	$565.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,846.75 / $1,902.16 / $1,964.18	Professional		$1,846.75	$1,902.16	$1,964.18
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $444.14 / $444.14 / $482.33	Professional	26	$444.14	$444.14	$482.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,104.00 / $2,104.00 / $2,104.00	Professional	TC	$2,104.00	$2,104.00	$2,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.05 / $318.25 / $522.23	Professional		$229.05	$318.25	$522.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.81 / $74.95 / $133.93	Professional	26	$58.81	$74.95	$133.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.58 / $247.37 / $388.88	Professional	TC	$166.58	$247.37	$388.88