Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $109.65 / $467.74	Facility	26	$54.95	$109.65	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $676.08	Professional		$239.88	$323.59	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $97.72 / $234.42	Professional	26	$60.26	$97.72	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $223.87 / $407.38	Professional	TC	$162.18	$223.87	$407.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $141.25	Professional	26	$63.10	$79.43	$141.25
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	TC	$229.09	$229.09	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $758.58	Professional		$234.42	$346.74	$758.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $218.78	Professional	26	$85.11	$138.04	$218.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $389.05 / $616.60	Professional	TC	$204.17	$389.05	$616.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $851.14	Professional		$275.42	$457.09	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $120.23 / $199.53	Professional	26	$74.13	$120.23	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $363.08 / $660.69	Professional	TC	$194.98	$363.08	$660.69
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $660.69 / $691.83 / $691.83	Professional	26	$660.69	$691.83	$691.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional	TC	$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $676.08	Professional		$295.12	$457.09	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $104.71 / $177.83	Professional	26	$83.18	$104.71	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $323.59 / $512.86	Professional	TC	$208.93	$323.59	$512.86