Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.17 / $105.66 / $412.28	Facility	26	$65.17	$105.66	$412.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $228.49 / $475.00	Professional		$198.16	$228.49	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.16 / $72.59 / $140.00	Professional	26	$65.16	$72.59	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.03 / $143.86 / $335.00	Professional	TC	$131.03	$143.86	$335.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.58 / $56.22 / $58.17	Professional	26	$55.58	$56.22	$58.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.29 / $340.74 / $551.77	Professional		$203.29	$340.74	$551.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.95 / $115.25 / $184.55	Professional	26	$71.95	$115.25	$184.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $143.96 / $235.16 / $372.88	Professional	TC	$143.96	$235.16	$372.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.53 / $78.53 / $86.45	Facility	26	$78.53	$78.53	$86.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $325.92 / $547.08	Professional		$191.34	$325.92	$547.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.27 / $109.94 / $178.00	Professional	26	$64.27	$109.94	$178.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.47 / $217.29 / $368.88	Professional	TC	$125.47	$217.29	$368.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $691.52 / $691.52 / $707.68	Facility	26	$691.52	$691.52	$707.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,484.56 / $1,484.56 / $1,852.58	Professional		$1,484.56	$1,484.56	$1,852.58
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $478.82 / $478.82 / $605.54	Professional	26	$478.82	$478.82	$605.54
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,005.68 / $1,005.68 / $1,247.03	Professional	TC	$1,005.68	$1,005.68	$1,247.03
United Facility/Professional Professional Modifier Low / Median / High Price $235.07 / $467.76 / $1,019.56	Professional		$235.07	$467.76	$1,019.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.19 / $93.98 / $163.84	Professional	26	$76.19	$93.98	$163.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.57 / $295.10 / $833.87	Professional	TC	$155.57	$295.10	$833.87