Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.93 / $136.05 / $558.17	Facility	26	$93.93	$136.05	$558.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $370.50 / $640.00	Professional		$313.02	$370.50	$640.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.94 / $112.48 / $231.22	Professional	26	$93.94	$112.48	$231.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.98 / $256.87 / $385.24	Professional	TC	$214.98	$256.87	$385.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $507.57 / $530.03 / $743.68	Professional		$507.57	$530.03	$743.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.59 / $125.93 / $251.25	Professional	26	$80.59	$125.93	$251.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.01 / $537.35 / $871.64	Professional		$315.01	$537.35	$871.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.72 / $161.97 / $263.42	Professional	26	$103.72	$161.97	$263.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $241.88 / $381.07 / $614.34	Professional	TC	$241.88	$381.07	$614.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.31 / $112.31 / $124.62	Facility	26	$112.31	$112.31	$124.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $517.79 / $863.08	Professional		$300.82	$517.79	$863.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.60 / $157.94 / $257.35	Professional	26	$92.60	$157.94	$257.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.92 / $358.27 / $608.20	Professional	TC	$204.92	$358.27	$608.20
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $999.76 / $999.76 / $1,020.08	Facility	26	$999.76	$999.76	$1,020.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,337.81 / $2,337.81 / $2,907.38	Professional		$2,337.81	$2,337.81	$2,907.38
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $687.65 / $687.65 / $881.25	Professional	26	$687.65	$687.65	$881.25
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,650.16 / $1,650.16 / $2,026.13	Professional	TC	$1,650.16	$1,650.16	$2,026.13
United Facility/Professional Professional Modifier Low / Median / High Price $371.53 / $669.86 / $1,104.90	Professional		$371.53	$669.86	$1,104.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.60 / $126.37 / $266.75	Professional	26	$85.60	$126.37	$266.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.29 / $480.06 / $892.29	Professional	TC	$263.29	$480.06	$892.29