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 / $2,244.00	Facility	26	$55.00	$98.00	$2,244.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $275.00 / $426.25	Professional		$193.50	$275.00	$426.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $84.02 / $226.43	Professional	26	$55.00	$84.02	$226.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.62 / $197.08 / $248.90	Professional	TC	$112.62	$197.08	$248.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.11 / $287.27 / $335.25	Professional		$162.11	$287.27	$335.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.76 / $83.55 / $153.68	Professional	26	$60.76	$83.55	$153.68
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $73.51 / $136.16 / $172.08	Professional	TC	$73.51	$136.16	$172.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $297.32 / $447.03	Professional		$156.80	$297.32	$447.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.73 / $126.93 / $202.23	Professional	26	$77.73	$126.93	$202.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.19 / $176.91 / $253.02	Professional	TC	$99.19	$176.91	$253.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.39 / $85.39 / $94.15	Facility	26	$85.39	$85.39	$94.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $276.63 / $446.21	Professional		$159.96	$276.63	$446.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.97 / $119.10 / $195.14	Professional	26	$69.97	$119.10	$195.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.03 / $156.41 / $261.04	Professional	TC	$89.03	$156.41	$261.04
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $752.64 / $752.64 / $770.72	Facility	26	$752.64	$752.64	$770.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.23 / $1,217.23 / $1,550.48	Professional		$1,217.23	$1,217.23	$1,550.48
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $521.24 / $521.24 / $659.93	Professional	26	$521.24	$521.24	$659.93
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,308.00 / $1,308.00 / $1,308.00	Professional	TC	$1,308.00	$1,308.00	$1,308.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.32 / $230.10 / $406.24	Professional		$187.32	$230.10	$406.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.01 / $102.20 / $178.28	Professional	26	$82.01	$102.20	$178.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.90 / $135.61 / $232.56	Professional	TC	$102.90	$135.61	$232.56