Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $224.71 / $333.82 / $2,760.80	Facility	26	$224.71	$333.82	$2,760.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.27 / $516.54 / $822.76	Professional		$411.27	$516.54	$822.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $189.68 / $224.71 / $400.01	Professional	26	$189.68	$224.71	$400.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $221.59 / $277.57 / $381.89	Professional	TC	$221.59	$277.57	$381.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $337.58 / $443.24 / $816.59	Professional		$337.58	$443.24	$816.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $178.39 / $214.06 / $384.50	Professional	26	$178.39	$214.06	$384.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.94 / $651.75 / $971.81	Professional		$234.94	$651.75	$971.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $200.95 / $305.93 / $507.93	Professional	26	$200.95	$305.93	$507.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $221.44 / $380.21 / $567.84	Professional	TC	$221.44	$380.21	$567.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $353.10 / $353.10 / $353.10	Facility	26	$353.10	$353.10	$353.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.89 / $747.39 / $1,522.64	Professional		$447.89	$747.39	$1,522.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $215.12 / $330.62 / $507.82	Professional	26	$215.12	$330.62	$507.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.94 / $403.20 / $1,172.92	Professional	TC	$234.94	$403.20	$1,172.92
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $528.44 / $1,325.34 / $1,325.34	Facility	26	$528.44	$1,325.34	$1,325.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,381.05 / $7,602.48 / $7,602.48	Professional		$7,381.05	$7,602.48	$7,602.48
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,699.00 / $1,699.00 / $1,841.48	Professional	26	$1,699.00	$1,699.00	$1,841.48
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $6,233.93 / $6,420.95 / $6,420.95	Professional	TC	$6,233.93	$6,420.95	$6,420.95
United Facility/Professional Professional Modifier Low / Median / High Price $459.75 / $625.49 / $1,314.95	Professional		$459.75	$625.49	$1,314.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $218.83 / $266.77 / $578.54	Professional	26	$218.83	$266.77	$578.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.77 / $351.46 / $838.19	Professional	TC	$245.77	$351.46	$838.19