Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.33 / $164.81 / $356.20	Facility	26	$106.33	$164.81	$356.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.46 / $404.46 / $640.00	Professional		$252.46	$404.46	$640.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $111.15 / $203.00	Professional	26	$85.00	$111.15	$203.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.09 / $226.66 / $369.35	Professional	TC	$179.09	$226.66	$369.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.72 / $193.96 / $303.82	Professional		$170.72	$193.96	$303.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.82 / $69.88 / $158.25	Professional	26	$50.82	$69.88	$158.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.12 / $481.00 / $728.04	Professional		$216.12	$481.00	$728.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.91 / $107.03 / $173.38	Professional	26	$64.91	$107.03	$173.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.10 / $372.86 / $572.52	Professional	TC	$162.10	$372.86	$572.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.67 / $71.67 / $79.09	Facility	26	$71.67	$71.67	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.92 / $438.23 / $724.25	Professional		$181.92	$438.23	$724.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.73 / $101.91 / $166.43	Professional	26	$58.73	$101.91	$166.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $124.70 / $307.01 / $622.04	Professional	TC	$124.70	$307.01	$622.04
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $629.60 / $629.60 / $647.12	Facility	26	$629.60	$629.60	$647.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,831.41 / $2,916.35 / $2,916.35	Professional		$2,831.41	$2,916.35	$2,916.35
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $579.54 / $579.54 / $579.54	Professional	26	$579.54	$579.54	$579.54
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,465.48 / $2,539.44 / $2,539.44	Professional	TC	$2,465.48	$2,539.44	$2,539.44
United Facility/Professional Professional Modifier Low / Median / High Price $212.79 / $399.86 / $583.13	Professional		$212.79	$399.86	$583.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.06 / $85.97 / $150.83	Professional	26	$69.06	$85.97	$150.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.44 / $272.58 / $462.57	Professional	TC	$141.44	$272.58	$462.57