Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.96 / $44.97 / $285.70	Facility	26	$44.96	$44.97	$285.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.52 / $194.77 / $388.31	Professional		$177.52	$194.77	$388.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.52 / $47.56 / $78.73	Professional	26	$43.52	$47.56	$78.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.52 / $145.61 / $206.71	Professional	TC	$135.52	$145.61	$206.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $392.40 / $392.40 / $392.40	Professional		$392.40	$392.40	$392.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.85 / $119.63 / $119.63	Professional	26	$47.85	$119.63	$119.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.41 / $332.90 / $519.60	Professional		$188.41	$332.90	$519.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.14 / $83.92 / $132.29	Professional	26	$50.14	$83.92	$132.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.69 / $254.15 / $400.51	Professional	TC	$153.69	$254.15	$400.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.42 / $54.42 / $59.80	Facility	26	$54.42	$54.42	$59.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.39 / $302.74 / $513.85	Professional		$175.39	$302.74	$513.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.40 / $75.83 / $123.37	Professional	26	$44.40	$75.83	$123.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.83 / $224.15 / $380.11	Professional	TC	$129.83	$224.15	$380.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $122.98 / $254.79 / $254.79	Facility	26	$122.98	$254.79	$254.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.92 / $1,374.92 / $1,698.38	Professional		$1,374.92	$1,374.92	$1,698.38
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $330.16 / $330.16 / $417.45	Professional	26	$330.16	$330.16	$417.45
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,044.76 / $1,044.76 / $1,280.93	Professional	TC	$1,044.76	$1,044.76	$1,280.93
United Facility/Professional Professional Modifier Low / Median / High Price $214.96 / $257.95 / $452.58	Professional		$214.96	$257.95	$452.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.33 / $65.45 / $114.83	Professional	26	$51.33	$65.45	$114.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.41 / $192.50 / $338.58	Professional	TC	$160.41	$192.50	$338.58