Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.74 / $422.55 / $446.36	Facility	26	$130.74	$422.55	$446.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.22 / $494.18 / $641.65	Professional		$385.22	$494.18	$641.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $130.74 / $155.65	Professional	26	$85.00	$130.74	$155.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $349.22 / $446.84	Professional	TC	$259.35	$349.22	$446.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $75.03 / $187.58	Professional	26	$62.89	$75.03	$187.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.42 / $679.87 / $986.72	Professional		$315.42	$679.87	$986.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.11 / $127.46 / $206.48	Professional	26	$77.11	$127.46	$206.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $266.89 / $553.66 / $798.79	Professional	TC	$266.89	$553.66	$798.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.02 / $85.02 / $93.41	Facility	26	$85.02	$85.02	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.17 / $604.42 / $958.90	Professional		$276.17	$604.42	$958.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.40 / $120.81 / $192.74	Professional	26	$69.40	$120.81	$192.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.31 / $475.05 / $794.52	Professional	TC	$206.31	$475.05	$794.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $746.48 / $746.48 / $764.32	Facility	26	$746.48	$746.48	$764.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,392.38 / $3,491.47 / $3,491.47	Professional		$3,392.38	$3,491.47	$3,491.47
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $667.05 / $667.05 / $667.05	Professional	26	$667.05	$667.05	$667.05
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,981.99 / $3,042.45 / $3,063.70	Professional	TC	$2,981.99	$3,042.45	$3,063.70
United Facility/Professional Professional Modifier Low / Median / High Price $325.38 / $563.74 / $819.85	Professional		$325.38	$563.74	$819.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.57 / $101.78 / $177.56	Professional	26	$82.57	$101.78	$177.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.66 / $441.29 / $627.53	Professional	TC	$241.66	$441.29	$627.53