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 / $466.59	Facility	26	$55.00	$98.00	$466.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $375.92 / $654.46	Professional		$275.00	$375.92	$654.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $96.55 / $202.12	Professional	26	$55.00	$96.55	$202.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.00 / $282.82 / $437.74	Professional	TC	$220.00	$282.82	$437.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $303.51 / $500.79 / $584.79	Professional		$303.51	$500.79	$584.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.11 / $96.40 / $218.35	Professional	26	$70.11	$96.40	$218.35
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $174.68 / $385.94 / $385.94	Professional	TC	$174.68	$385.94	$385.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.70 / $544.17 / $833.55	Professional		$284.70	$544.17	$833.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.94 / $146.41 / $233.28	Professional	26	$89.94	$146.41	$233.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.79 / $416.62 / $614.74	Professional	TC	$224.79	$416.62	$614.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.23 / $98.23 / $108.46	Facility	26	$98.23	$98.23	$108.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.68 / $507.59 / $820.74	Professional		$297.68	$507.59	$820.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.64 / $137.40 / $223.28	Professional	26	$80.64	$137.40	$223.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.01 / $377.00 / $615.99	Professional	TC	$213.01	$377.00	$615.99
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $868.88 / $868.88 / $887.84	Facility	26	$868.88	$868.88	$887.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,326.86 / $2,326.86 / $2,876.93	Professional		$2,326.86	$2,326.86	$2,876.93
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $600.70 / $600.70 / $763.13	Professional	26	$600.70	$600.70	$763.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,909.00 / $2,909.00 / $2,909.00	Professional	TC	$2,909.00	$2,909.00	$2,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.99 / $451.56 / $747.06	Professional		$340.99	$451.56	$747.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.01 / $117.78 / $206.65	Professional	26	$95.01	$117.78	$206.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.84 / $309.70 / $511.27	Professional	TC	$242.84	$309.70	$511.27