Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $193.99 / $251.21 / $623.88	Facility	26	$193.99	$251.21	$623.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $562.41 / $781.21	Professional		$425.00	$562.41	$781.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.36 / $179.44 / $339.53	Professional	26	$122.36	$179.44	$339.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $305.00 / $385.39 / $507.87	Professional	TC	$305.00	$385.39	$507.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $559.94 / $559.94 / $559.94	Professional		$559.94	$559.94	$559.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $90.30 / $212.21 / $281.10	Professional	26	$90.30	$212.21	$281.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.07 / $661.32 / $982.29	Professional		$329.07	$661.32	$982.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $115.45 / $187.58 / $305.23	Professional	26	$115.45	$187.58	$305.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $256.05 / $485.13 / $722.07	Professional	TC	$256.05	$485.13	$722.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.53 / $125.53 / $139.38	Facility	26	$125.53	$125.53	$139.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.74 / $662.15 / $1,117.24	Professional		$318.74	$662.15	$1,117.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.84 / $179.89 / $284.45	Professional	26	$103.84	$179.89	$284.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.25 / $474.29 / $826.28	Professional	TC	$212.25	$474.29	$826.28
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,118.24 / $1,118.24 / $1,142.00	Facility	26	$1,118.24	$1,118.24	$1,142.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,919.13 / $4,036.70 / $4,036.70	Professional		$3,919.13	$4,036.70	$4,036.70
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $771.93 / $771.93 / $980.18	Professional	26	$771.93	$771.93	$980.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $3,292.02 / $3,390.79 / $3,390.79	Professional	TC	$3,292.02	$3,390.79	$3,390.79
United Facility/Professional Professional Modifier Low / Median / High Price $395.04 / $606.94 / $916.09	Professional		$395.04	$606.94	$916.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $119.86 / $150.32 / $260.56	Professional	26	$119.86	$150.32	$260.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $266.67 / $427.46 / $651.86	Professional	TC	$266.67	$427.46	$651.86