Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.84 / $106.83 / $421.47	Facility	26	$77.84	$106.83	$421.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.18 / $510.94 / $880.84	Professional		$398.18	$510.94	$880.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $81.78 / $143.77	Professional	26	$67.73	$81.78	$143.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $351.26 / $422.09 / $561.00	Professional	TC	$351.26	$422.09	$561.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $297.25 / $395.12 / $838.60	Professional		$297.25	$395.12	$838.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.15 / $77.97 / $139.54	Professional	26	$61.15	$77.97	$139.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $295.89 / $295.89 / $295.89	Professional	TC	$295.89	$295.89	$295.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.68 / $608.67 / $1,030.02	Professional		$382.68	$608.67	$1,030.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.06 / $105.36 / $179.15	Professional	26	$71.06	$105.36	$179.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $352.43 / $531.73 / $889.00	Professional	TC	$352.43	$531.73	$889.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.44 / $128.44 / $128.44	Facility	26	$128.44	$128.44	$128.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.79 / $634.41 / $1,061.51	Professional		$404.79	$634.41	$1,061.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.14 / $120.77 / $185.50	Professional	26	$78.14	$120.77	$185.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $327.13 / $533.05 / $881.37	Professional	TC	$327.13	$533.05	$881.37
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $192.44 / $1,357.70 / $1,357.70	Facility	26	$192.44	$1,357.70	$1,357.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,499.00 / $4,499.00 / $4,499.00	Professional		$4,499.00	$4,499.00	$4,499.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,350.00 / $1,350.00 / $1,350.00	Professional	26	$1,350.00	$1,350.00	$1,350.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $3,149.00 / $3,149.00 / $3,149.00	Professional	TC	$3,149.00	$3,149.00	$3,149.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.95 / $546.66 / $969.49	Professional		$333.95	$546.66	$969.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.95 / $97.64 / $177.74	Professional	26	$78.95	$97.64	$177.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $261.54 / $454.94 / $798.19	Professional	TC	$261.54	$454.94	$798.19