Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.18 / $435.12 / $459.64	Facility	26	$135.18	$435.12	$459.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.48 / $518.21 / $640.00	Professional		$407.48	$518.21	$640.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $135.18 / $170.27	Professional	26	$85.00	$135.18	$170.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $388.62 / $485.57	Professional	TC	$282.87	$388.62	$485.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.72 / $97.44 / $194.48	Professional	26	$61.72	$97.44	$194.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.22 / $627.98 / $937.14	Professional		$310.22	$627.98	$937.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.01 / $131.22 / $212.58	Professional	26	$80.01	$131.22	$212.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $258.19 / $512.89 / $763.64	Professional	TC	$258.19	$512.89	$763.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.55 / $87.55 / $96.55	Facility	26	$87.55	$87.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.74 / $575.00 / $908.03	Professional		$295.74	$575.00	$908.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.77 / $124.44 / $204.64	Professional	26	$71.77	$124.44	$204.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.62 / $449.86 / $727.22	Professional	TC	$225.62	$449.86	$727.22
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $772.96 / $772.96 / $789.92	Facility	26	$772.96	$772.96	$789.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,007.15 / $3,039.70 / $3,039.70	Professional		$3,007.15	$3,039.70	$3,039.70
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $848.54 / $848.54 / $848.54	Professional	26	$848.54	$848.54	$848.54
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,544.17 / $2,573.94 / $2,613.88	Professional	TC	$2,544.17	$2,573.94	$2,613.88
United Facility/Professional Professional Modifier Low / Median / High Price $361.73 / $506.00 / $806.70	Professional		$361.73	$506.00	$806.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.01 / $104.80 / $183.38	Professional	26	$84.01	$104.80	$183.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.23 / $407.61 / $627.94	Professional	TC	$278.23	$407.61	$627.94