Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $416.87 / $436.52	Facility	26	$123.03	$416.87	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $501.19	Professional		$177.83	$234.42	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $89.13 / $204.17	Professional	26	$63.10	$89.13	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $154.88 / $338.84	Professional	TC	$120.23	$154.88	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $331.13	Professional		$239.88	$239.88	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $69.18	Professional	26	$60.26	$60.26	$69.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	TC	$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $501.19	Professional		$158.49	$269.15	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $114.82 / $186.21	Professional	26	$74.13	$114.82	$186.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $234.42 / $380.19	Professional	TC	$151.36	$234.42	$380.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $549.54	Professional		$204.17	$316.23	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $107.15 / $186.21	Professional	26	$66.07	$107.15	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $204.17 / $354.81	Professional	TC	$128.82	$204.17	$354.81
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	26	$691.83	$691.83	$691.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $1,862.09	Professional		$1,479.11	$1,862.09	$1,862.09
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $478.63 / $602.56 / $602.56	Professional	26	$478.63	$602.56	$602.56
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,000.00 / $1,258.93 / $1,258.93	Professional	TC	$1,000.00	$1,258.93	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $512.86 / $1,047.13	Professional		$234.42	$512.86	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $91.20 / $158.49	Professional	26	$72.44	$91.20	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $346.74 / $870.96	Professional	TC	$154.88	$346.74	$870.96