Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.20 / $114.37 / $540.79	Facility	26	$100.20	$114.37	$540.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.20 / $428.05 / $682.63	Professional		$381.20	$428.05	$682.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.09 / $105.26 / $168.17	Professional	26	$89.09	$105.26	$168.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $292.11 / $323.22 / $459.73	Professional	TC	$292.11	$323.22	$459.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $427.78 / $427.78 / $764.78	Professional		$427.78	$427.78	$764.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.14 / $99.76 / $179.21	Professional	26	$83.14	$99.76	$179.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.30 / $534.03 / $901.77	Professional		$319.30	$534.03	$901.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.23 / $139.43 / $237.94	Professional	26	$91.23	$139.43	$237.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $292.83 / $435.31 / $738.70	Professional	TC	$292.83	$435.31	$738.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.81 / $164.81 / $164.81	Facility	26	$164.81	$164.81	$164.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.11 / $632.51 / $964.30	Professional		$394.11	$632.51	$964.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.34 / $154.05 / $237.27	Professional	26	$99.34	$154.05	$237.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $294.85 / $467.16 / $725.73	Professional	TC	$294.85	$467.16	$725.73
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $246.31 / $529.44 / $529.44	Facility	26	$246.31	$529.44	$529.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,670.75 / $2,670.75 / $3,379.95	Professional		$2,670.75	$2,670.75	$3,379.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $657.16 / $657.16 / $856.05	Professional	26	$657.16	$657.16	$856.05
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,013.59 / $2,013.59 / $2,523.98	Professional	TC	$2,013.59	$2,013.59	$2,523.98
United Facility/Professional Professional Modifier Low / Median / High Price $409.35 / $502.98 / $1,018.40	Professional		$409.35	$502.98	$1,018.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.60 / $128.05 / $292.37	Professional	26	$100.60	$128.05	$292.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $309.01 / $377.87 / $745.71	Professional	TC	$309.01	$377.87	$745.71