Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $288.40 / $338.84	Facility	26	$77.62	$288.40	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $436.52	Professional		$173.78	$275.42	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $102.33	Professional	26	$51.29	$61.66	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $213.80 / $316.23	Professional	TC	$128.82	$213.80	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $151.36 / $630.96	Professional		$147.91	$151.36	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $91.20 / $147.91	Professional	26	$61.66	$91.20	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $269.15 / $794.33	Professional	TC	$154.88	$269.15	$794.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	26	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $758.58	Professional		$208.93	$380.19	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $87.10 / $128.82	Professional	26	$56.23	$87.10	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $275.42 / $676.08	Professional	TC	$147.91	$275.42	$676.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	26	$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $501.19 / $501.19	Professional	26	$436.52	$501.19	$501.19
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional	TC	$3,090.30	$3,090.30	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $630.96	Professional		$213.80	$363.08	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $72.44 / $123.03	Professional	26	$57.54	$72.44	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $245.47 / $478.63	Professional	TC	$154.88	$245.47	$478.63