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 / $343.57	Facility	26	$55.00	$98.00	$343.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $273.33 / $343.75	Professional		$147.21	$273.33	$343.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.54 / $68.75 / $213.00	Professional	26	$52.54	$68.75	$213.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.08 / $138.63 / $227.00	Professional	TC	$77.08	$138.63	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.88 / $195.70	Professional		$95.50	$138.88	$195.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.99 / $79.80 / $159.35	Professional	26	$50.99	$79.80	$159.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $186.72 / $323.94	Professional		$103.07	$186.72	$323.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.34 / $81.11 / $132.41	Professional	26	$50.34	$81.11	$132.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.60 / $100.43 / $168.72	Professional	TC	$54.60	$100.43	$168.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.31 / $79.31 / $86.79	Facility	26	$79.31	$79.31	$86.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $196.43 / $419.83	Professional		$115.55	$196.43	$419.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.49 / $84.87 / $146.76	Professional	26	$55.49	$84.87	$146.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.80 / $100.73 / $294.02	Professional	TC	$56.80	$100.73	$294.02
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $632.16 / $632.16 / $646.64	Facility	26	$632.16	$632.16	$646.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.40 / $1,448.59 / $1,448.59	Professional		$1,406.40	$1,448.59	$1,448.59
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $439.49 / $439.49 / $555.45	Professional	26	$439.49	$439.49	$555.45
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,140.03 / $1,174.23 / $1,174.23	Professional	TC	$1,140.03	$1,174.23	$1,174.23
United Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $172.38 / $323.94	Professional		$138.71	$172.38	$323.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.25 / $84.34 / $155.66	Professional	26	$58.25	$84.34	$155.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.78 / $85.74 / $181.24	Professional	TC	$69.78	$85.74	$181.24