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 / $551.48	Facility	26	$55.00	$98.00	$551.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $357.50 / $566.61	Professional		$275.00	$357.50	$566.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $110.81 / $217.36	Professional	26	$55.00	$110.81	$217.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.20 / $227.00 / $365.54	Professional	TC	$187.20	$227.00	$365.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.35 / $452.41 / $630.30	Professional		$310.35	$452.41	$630.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $82.72 / $113.73 / $257.95	Professional	26	$82.72	$113.73	$257.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.41 / $638.14 / $992.10	Professional		$316.41	$638.14	$992.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.66 / $175.34 / $283.22	Professional	26	$106.66	$175.34	$283.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $246.77 / $468.38 / $728.34	Professional	TC	$246.77	$468.38	$728.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.10 / $116.10 / $128.28	Facility	26	$116.10	$116.10	$128.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.95 / $639.83 / $1,121.79	Professional		$348.95	$639.83	$1,121.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.23 / $162.60 / $260.52	Professional	26	$95.23	$162.60	$260.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $249.65 / $473.58 / $896.61	Professional	TC	$249.65	$473.58	$896.61
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,024.72 / $1,024.72 / $1,048.24	Facility	26	$1,024.72	$1,024.72	$1,048.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,801.00 / $4,801.00 / $4,801.00	Professional		$4,801.00	$4,801.00	$4,801.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,632.94 / $1,632.94 / $1,632.94	Professional	26	$1,632.94	$1,632.94	$1,632.94
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $3,601.00 / $3,601.00 / $3,601.00	Professional	TC	$3,601.00	$3,601.00	$3,601.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.29 / $542.42 / $937.74	Professional		$411.29	$542.42	$937.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.44 / $139.00 / $243.87	Professional	26	$112.44	$139.00	$243.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.45 / $419.66 / $779.11	Professional	TC	$295.45	$419.66	$779.11