Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $98.00 / $447.46	Facility	26	$55.00	$98.00	$447.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.33 / $289.87 / $453.39	Professional		$245.33	$289.87	$453.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $79.75 / $160.22	Professional	26	$55.00	$79.75	$160.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.88 / $220.00 / $282.39	Professional	TC	$162.88	$220.00	$282.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $472.39 / $472.39 / $472.39	Professional		$472.39	$472.39	$472.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.02 / $94.76 / $152.84	Professional	26	$63.02	$94.76	$152.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $398.21 / $624.54	Professional		$217.40	$398.21	$624.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.45 / $127.30 / $203.88	Professional	26	$76.45	$127.30	$203.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.41 / $287.63 / $434.17	Professional	TC	$165.41	$287.63	$434.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.23 / $85.23 / $93.84	Facility	26	$85.23	$85.23	$93.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.93 / $347.94 / $583.70	Professional		$201.93	$347.94	$583.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.84 / $118.65 / $195.30	Professional	26	$69.84	$118.65	$195.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.34 / $225.43 / $394.58	Professional	TC	$128.34	$225.43	$394.58
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $750.32 / $750.32 / $768.32	Facility	26	$750.32	$750.32	$768.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.48 / $1,515.48 / $1,932.15	Professional		$1,515.48	$1,515.48	$1,932.15
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $521.79 / $521.79 / $655.65	Professional	26	$521.79	$521.79	$655.65
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $993.68 / $993.68 / $1,276.50	Professional	TC	$993.68	$993.68	$1,276.50
United Facility/Professional Professional Modifier Low / Median / High Price $235.28 / $303.58 / $529.04	Professional		$235.28	$303.58	$529.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.94 / $102.03 / $179.00	Professional	26	$81.94	$102.03	$179.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.79 / $212.56 / $351.49	Professional	TC	$147.79	$212.56	$351.49