Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.81 / $77.81 / $488.09	Facility	26	$77.81	$77.81	$488.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $159.75 / $272.08	Professional		$138.79	$159.75	$272.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.81 / $79.39 / $134.26	Professional	26	$57.81	$79.39	$134.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.65 / $73.03 / $211.66	Professional	TC	$60.65	$73.03	$211.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $157.05 / $157.05 / $157.05	Professional	26	$157.05	$157.05	$157.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $294.38 / $449.90	Professional		$138.04	$294.38	$449.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.02 / $101.81 / $193.90	Professional	26	$64.02	$101.81	$193.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.58 / $175.54 / $304.23	Professional	TC	$81.58	$175.54	$304.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.26 / $105.26 / $111.57	Facility	26	$105.26	$105.26	$111.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $269.45 / $643.47	Professional		$143.19	$269.45	$643.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.12 / $108.22 / $193.43	Professional	26	$66.12	$108.22	$193.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.64 / $149.75 / $559.66	Professional	TC	$63.64	$149.75	$559.66
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $213.91 / $438.57 / $438.57	Facility	26	$213.91	$438.57	$438.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,140.08 / $3,234.28 / $3,234.28	Professional		$3,140.08	$3,234.28	$3,234.28
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $681.88 / $681.88 / $748.95	Professional	26	$681.88	$681.88	$748.95
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,808.09 / $2,892.33 / $2,892.33	Professional	TC	$2,808.09	$2,892.33	$2,892.33
United Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $264.52 / $533.66	Professional		$164.30	$264.52	$533.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.17 / $98.16 / $195.60	Professional	26	$67.17	$98.16	$195.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.43 / $134.62 / $347.22	Professional	TC	$72.43	$134.62	$347.22