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 / $249.38	Facility	26	$55.00	$98.00	$249.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.12 / $273.24 / $328.00	Professional		$126.12	$273.24	$328.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $55.00 / $98.00	Professional	26	$42.66	$55.00	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.98 / $164.40 / $227.00	Professional	TC	$78.98	$164.40	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $142.76 / $142.76	Professional		$142.76	$142.76	$142.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $74.81 / $85.99	Professional	26	$34.79	$74.81	$85.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.84 / $226.43 / $329.63	Professional		$111.84	$226.43	$329.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.23 / $71.30 / $116.52	Professional	26	$43.23	$71.30	$116.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.76 / $160.22 / $240.96	Professional	TC	$82.76	$160.22	$240.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.50 / $47.50 / $51.84	Facility	26	$47.50	$47.50	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $206.19 / $343.63	Professional		$115.70	$206.19	$343.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.97 / $66.97 / $108.39	Professional	26	$38.97	$66.97	$108.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.93 / $140.37 / $240.00	Professional	TC	$74.93	$140.37	$240.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $411.36 / $411.36 / $422.56	Facility	26	$411.36	$411.36	$422.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.22 / $1,055.73 / $1,108.95	Professional		$1,035.22	$1,055.73	$1,108.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $287.12 / $287.12 / $360.98	Professional	26	$287.12	$287.12	$360.98
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $780.77 / $803.30 / $803.30	Professional	TC	$780.77	$803.30	$803.30
United Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $188.02 / $293.76	Professional		$135.13	$188.02	$293.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.49 / $56.75 / $99.36	Professional	26	$45.49	$56.75	$99.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.72 / $127.29 / $204.71	Professional	TC	$87.72	$127.29	$204.71