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 / $470.24	Facility	26	$55.00	$98.00	$470.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $335.77 / $613.95	Professional		$275.00	$335.77	$613.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $89.95 / $244.80	Professional	26	$55.00	$89.95	$244.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.00 / $230.22 / $382.43	Professional	TC	$220.00	$230.22	$382.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.11 / $327.08 / $516.74	Professional		$271.11	$327.08	$516.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.81 / $92.52 / $160.94	Professional	26	$63.81	$92.52	$160.94
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $195.17 / $337.01 / $378.00	Professional	TC	$195.17	$337.01	$378.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.82 / $466.04 / $717.29	Professional		$253.82	$466.04	$717.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.19 / $133.87 / $209.55	Professional	26	$82.19	$133.87	$209.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.80 / $341.95 / $528.98	Professional	TC	$195.80	$341.95	$528.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.57 / $89.57 / $98.40	Facility	26	$89.57	$89.57	$98.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.08 / $439.23 / $704.25	Professional		$264.08	$439.23	$704.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.17 / $124.28 / $203.64	Professional	26	$73.17	$124.28	$203.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.43 / $311.33 / $498.05	Professional	TC	$188.43	$311.33	$498.05
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $791.44 / $791.44 / $805.76	Facility	26	$791.44	$791.44	$805.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,077.84 / $2,077.84 / $2,569.28	Professional		$2,077.84	$2,077.84	$2,569.28
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $547.02 / $547.02 / $697.13	Professional	26	$547.02	$547.02	$697.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,614.00 / $2,614.00 / $2,614.00	Professional	TC	$2,614.00	$2,614.00	$2,614.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.37 / $365.63 / $638.72	Professional		$303.37	$365.63	$638.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.91 / $107.22 / $188.12	Professional	26	$85.91	$107.22	$188.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.02 / $260.87 / $450.60	Professional	TC	$214.02	$260.87	$450.60