Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.13 / $165.94 / $535.41	Facility	26	$156.13	$165.94	$535.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.50 / $525.00 / $1,026.70	Professional		$376.50	$525.00	$1,026.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.02 / $157.00 / $308.44	Professional	26	$104.02	$157.00	$308.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $299.00 / $369.35 / $578.16	Professional	TC	$299.00	$369.35	$578.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.43 / $394.72 / $836.98	Professional		$293.43	$394.72	$836.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.94 / $112.11 / $239.80	Professional	26	$76.94	$112.11	$239.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $637.27 / $637.27 / $637.27	Professional	TC	$637.27	$637.27	$637.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.33 / $761.88 / $1,137.24	Professional		$352.33	$761.88	$1,137.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.98 / $164.65 / $262.83	Professional	26	$99.98	$164.65	$262.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $283.99 / $589.16 / $934.06	Professional	TC	$283.99	$589.16	$934.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.73 / $107.73 / $118.86	Facility	26	$107.73	$107.73	$118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.52 / $719.34 / $1,400.44	Professional		$309.52	$719.34	$1,400.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.77 / $155.01 / $244.19	Professional	26	$89.77	$155.01	$244.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.23 / $526.79 / $1,237.04	Professional	TC	$222.23	$526.79	$1,237.04
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $954.08 / $954.08 / $973.04	Facility	26	$954.08	$954.08	$973.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.38 / $6,206.15 / $6,206.15	Professional		$6,025.38	$6,206.15	$6,206.15
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $891.52 / $891.52 / $891.52	Professional	26	$891.52	$891.52	$891.52
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,457.89 / $5,621.63 / $5,621.63	Professional	TC	$5,457.89	$5,621.63	$5,621.63
United Facility/Professional Professional Modifier Low / Median / High Price $369.54 / $662.80 / $1,034.72	Professional		$369.54	$662.80	$1,034.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.77 / $128.72 / $223.76	Professional	26	$103.77	$128.72	$223.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $262.63 / $475.35 / $895.79	Professional	TC	$262.63	$475.35	$895.79