Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $295.12	Facility	26	$79.43	$79.43	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $338.84	Professional		$125.89	$173.78	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $91.20 / $234.42	Professional	26	$56.23	$91.20	$234.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $95.50 / $120.23	Professional	26	$69.18	$95.50	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $371.54	Professional		$97.72	$169.82	$371.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $93.33 / $204.17	Professional	26	$57.54	$93.33	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $616.60	Professional		$138.04	$257.04	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $87.10 / $186.21	Professional	26	$53.70	$87.10	$186.21
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	26	$588.84	$588.84	$588.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $676.08 / $758.58 / $758.58	Professional	26	$676.08	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $537.03	Professional		$165.96	$229.09	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $93.33 / $181.97	Professional	26	$56.23	$93.33	$181.97