Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.95 / $48.21 / $191.68	Facility	26	$35.95	$48.21	$191.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $270.69 / $459.38	Professional		$185.94	$270.69	$459.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.35 / $37.77 / $64.48	Professional	26	$30.35	$37.77	$64.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.46 / $232.92 / $313.54	Professional	TC	$159.46	$232.92	$313.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.83 / $239.50 / $444.49	Professional		$179.83	$239.50	$444.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.55 / $38.24 / $62.55	Professional	26	$29.55	$38.24	$62.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.26 / $262.30 / $535.37	Professional		$204.26	$262.30	$535.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.32 / $48.72 / $82.74	Professional	26	$32.32	$48.72	$82.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $175.39 / $245.57 / $511.29	Professional	TC	$175.39	$245.57	$511.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.42 / $58.42 / $58.42	Facility	26	$58.42	$58.42	$58.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $327.85 / $575.66	Professional		$218.65	$327.85	$575.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.47 / $54.45 / $85.16	Professional	26	$35.47	$54.45	$85.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.27 / $286.02 / $493.78	Professional	TC	$186.27	$286.02	$493.78
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $95.71 / $463.50 / $463.50	Facility	26	$95.71	$463.50	$463.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,395.00 / $2,395.00 / $2,395.00	Professional		$2,395.00	$2,395.00	$2,395.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $719.00 / $719.00 / $719.00	Professional	26	$719.00	$719.00	$719.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,676.00 / $1,676.00 / $1,956.98	Professional	TC	$1,676.00	$1,676.00	$1,956.98
United Facility/Professional Professional Modifier Low / Median / High Price $170.54 / $271.36 / $539.34	Professional		$170.54	$271.36	$539.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.76 / $44.18 / $77.52	Professional	26	$34.76	$44.18	$77.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $145.32 / $261.81 / $461.82	Professional	TC	$145.32	$261.81	$461.82