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 / $325.52	Facility	26	$55.00	$98.00	$325.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.16 / $325.00 / $495.00	Professional		$270.16	$325.00	$495.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $70.52 / $163.00	Professional	26	$55.00	$70.52	$163.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.20 / $227.00 / $362.53	Professional	TC	$187.20	$227.00	$362.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.19 / $434.21 / $434.21	Professional		$195.19	$434.21	$434.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.67 / $66.91 / $151.40	Professional	26	$48.67	$66.91	$151.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.01 / $437.93 / $677.90	Professional		$217.01	$437.93	$677.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.64 / $102.83 / $162.46	Professional	26	$62.64	$102.83	$162.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.12 / $338.74 / $540.19	Professional	TC	$171.12	$338.74	$540.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.53 / $68.53 / $75.64	Facility	26	$68.53	$68.53	$75.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.34 / $419.89 / $707.29	Professional		$227.34	$419.89	$707.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.24 / $97.87 / $156.09	Professional	26	$56.24	$97.87	$156.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.05 / $334.31 / $550.04	Professional	TC	$169.05	$334.31	$550.04
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $602.48 / $602.48 / $619.20	Facility	26	$602.48	$602.48	$619.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.83 / $2,385.40 / $2,385.40	Professional		$2,308.83	$2,385.40	$2,385.40
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $533.30 / $533.30 / $533.30	Professional	26	$533.30	$533.30	$533.30
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,603.00 / $2,603.00 / $2,603.00	Professional	TC	$2,603.00	$2,603.00	$2,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.93 / $381.76 / $588.69	Professional		$257.93	$381.76	$588.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.08 / $80.48 / $143.63	Professional	26	$66.08	$80.48	$143.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.43 / $253.78 / $466.83	Professional	TC	$189.43	$253.78	$466.83