Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $588.84 / $645.65	Facility	26	$102.33	$588.84	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $467.74	Professional		$204.17	$275.42	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $117.49 / $239.88	Professional	26	$54.95	$117.49	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $144.54 / $257.04	Professional	TC	$100.00	$144.54	$257.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Professional	26	$123.03	$123.03	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $1,047.13	Professional		$323.59	$489.78	$1,047.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $169.82 / $288.40	Professional	26	$112.20	$169.82	$288.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $512.86 / $831.76	Professional	TC	$323.59	$512.86	$831.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	26	$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,000.00	Professional		$346.74	$524.81	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $147.91 / $263.03	Professional	26	$95.50	$147.91	$263.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $371.54 / $741.31	Professional	TC	$251.19	$371.54	$741.31
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	26	$1,047.13	$1,047.13	$1,047.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,995.26	Professional		$1,862.09	$1,862.09	$1,995.26
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $724.44 / $912.01 / $912.01	Professional	26	$724.44	$912.01	$912.01
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,348.96 / $1,348.96 / $1,479.11	Professional	TC	$1,348.96	$1,348.96	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $912.01	Professional		$407.38	$524.81	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $134.90 / $234.42	Professional	26	$109.65	$134.90	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $389.05 / $676.08	Professional	TC	$288.40	$389.05	$676.08