Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $223.87 / $251.19	Facility	26	$97.72	$223.87	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $323.59	Professional		$120.23	$177.83	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $54.95 / $114.82	Professional	26	$43.65	$54.95	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $117.49 / $229.09	Professional	TC	$75.86	$117.49	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $45.71 / $107.15	Professional	26	$42.66	$45.71	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $323.59	Professional		$93.33	$158.49	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $74.13 / $117.49	Professional	26	$44.67	$74.13	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $158.49 / $245.47	Professional	TC	$85.11	$158.49	$245.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $354.81	Professional		$120.23	$204.17	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $63.10 / $112.20	Professional	26	$38.90	$63.10	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $138.04 / $239.88	Professional	TC	$79.43	$138.04	$239.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	26	$407.38	$407.38	$407.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,096.48	Professional		$1,047.13	$1,096.48	$1,096.48
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $288.40 / $363.08 / $363.08	Professional	26	$288.40	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	TC	$794.33	$794.33	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $281.84	Professional		$134.90	$177.83	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $54.95 / $95.50	Professional	26	$44.67	$54.95	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $125.89 / $194.98	Professional	TC	$87.10	$125.89	$194.98