Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $97.72 / $562.34	Facility	26	$54.95	$97.72	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $870.96	Professional		$275.42	$467.74	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $120.23 / $346.74	Professional	26	$81.28	$120.23	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $323.59 / $562.34	Professional	TC	$218.78	$323.59	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $660.69	Professional		$269.15	$354.81	$660.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $97.72 / $208.93	Professional	26	$75.86	$97.72	$208.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $251.19 / $257.04	Professional	TC	$251.19	$251.19	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $891.25	Professional		$295.12	$436.52	$891.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $162.18 / $263.03	Professional	26	$102.33	$162.18	$263.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $489.78 / $758.58	Professional	TC	$257.04	$489.78	$758.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $1,000.00	Professional		$331.13	$562.34	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $141.25 / $245.47	Professional	26	$89.13	$141.25	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $426.58 / $758.58	Professional	TC	$239.88	$426.58	$758.58
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $3,235.94	Professional		$2,570.40	$3,235.94	$3,235.94
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $660.69 / $831.76 / $831.76	Professional	26	$660.69	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,089.30 / $2,398.83 / $2,398.83	Professional	TC	$2,089.30	$2,398.83	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $831.76	Professional		$371.54	$549.54	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $123.03 / $213.80	Professional	26	$100.00	$123.03	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $398.11 / $616.60	Professional	TC	$269.15	$398.11	$616.60