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 / $551.19	Facility	26	$55.00	$98.00	$551.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $335.52 / $578.22	Professional		$275.00	$335.52	$578.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $106.09 / $273.00	Professional	26	$55.00	$106.09	$273.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.13 / $227.00 / $373.84	Professional	TC	$187.13	$227.00	$373.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $437.16 / $502.15 / $694.58	Professional		$437.16	$502.15	$694.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.50 / $179.85 / $260.10	Professional	26	$83.50	$179.85	$260.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.11 / $648.46 / $1,046.92	Professional		$317.11	$648.46	$1,046.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.26 / $172.19 / $275.32	Professional	26	$106.26	$172.19	$275.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $250.36 / $494.05 / $835.47	Professional	TC	$250.36	$494.05	$835.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.04 / $116.04 / $128.94	Facility	26	$116.04	$116.04	$128.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.08 / $602.48 / $974.90	Professional		$297.08	$602.48	$974.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.97 / $162.10 / $265.89	Professional	26	$95.97	$162.10	$265.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.16 / $429.37 / $692.54	Professional	TC	$197.16	$429.37	$692.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,034.56 / $1,034.56 / $1,056.00	Facility	26	$1,034.56	$1,034.56	$1,056.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,091.94 / $2,091.94 / $2,743.65	Professional		$2,091.94	$2,091.94	$2,743.65
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $711.82 / $711.82 / $908.70	Professional	26	$711.82	$711.82	$908.70
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,773.11 / $1,773.11 / $1,834.95	Professional	TC	$1,773.11	$1,773.11	$1,834.95
United Facility/Professional Professional Modifier Low / Median / High Price $336.34 / $484.84 / $814.65	Professional		$336.34	$484.84	$814.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.23 / $139.33 / $244.46	Professional	26	$111.23	$139.33	$244.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.22 / $328.59 / $575.47	Professional	TC	$220.22	$328.59	$575.47