Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $102.33 / $446.68	Facility	26	$54.95	$102.33	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $588.84	Professional		$218.78	$295.12	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $97.72 / $309.03	Professional	26	$54.95	$97.72	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $213.80 / $316.23	Professional	TC	$138.04	$213.80	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $154.88	Professional		$151.36	$151.36	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $77.62 / $165.96	Professional	26	$66.07	$77.62	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $616.60	Professional		$181.97	$302.00	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $128.82 / $208.93	Professional	26	$81.28	$128.82	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $295.12 / $446.68	Professional	TC	$173.78	$295.12	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $575.44	Professional		$208.93	$331.13	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $114.82 / $194.98	Professional	26	$70.79	$114.82	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $213.80 / $398.11	Professional	TC	$138.04	$213.80	$398.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $758.58 / $758.58 / $758.58	Facility	26	$758.58	$758.58	$758.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $1,949.84	Professional		$1,513.56	$1,949.84	$1,949.84
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $524.81 / $660.69 / $660.69	Professional	26	$524.81	$660.69	$660.69
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,000.00 / $1,288.25 / $1,288.25	Professional	TC	$1,000.00	$1,288.25	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $501.19	Professional		$234.42	$302.00	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $97.72 / $169.82	Professional	26	$79.43	$97.72	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $213.80 / $338.84	Professional	TC	$147.91	$213.80	$338.84