Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $398.78 / $544.19 / $2,157.59	Facility	26	$398.78	$544.19	$2,157.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.22 / $2,020.07 / $3,259.30	Professional		$1,621.22	$2,020.07	$3,259.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $347.37 / $418.92 / $745.72	Professional	26	$347.37	$418.92	$745.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,267.58 / $1,542.03 / $2,107.85	Professional	TC	$1,267.58	$1,542.03	$2,107.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,254.47 / $1,960.11 / $3,190.55	Professional		$1,254.47	$1,960.11	$3,190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $332.66 / $399.20 / $714.96	Professional	26	$332.66	$399.20	$714.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,384.63 / $2,481.94 / $3,649.41	Professional		$1,384.63	$2,481.94	$3,649.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $366.41 / $554.91 / $947.00	Professional	26	$366.41	$554.91	$947.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,269.15 / $2,112.90 / $3,202.67	Professional	TC	$1,269.15	$2,112.90	$3,202.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $657.55 / $657.55 / $657.55	Facility	26	$657.55	$657.55	$657.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,670.72 / $2,610.42 / $4,057.62	Professional		$1,670.72	$2,610.42	$4,057.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $400.18 / $616.21 / $946.47	Professional	26	$400.18	$616.21	$946.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,274.52 / $1,987.68 / $3,214.26	Professional	TC	$1,274.52	$1,987.68	$3,214.26
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $985.21 / $2,118.79 / $2,118.79	Facility	26	$985.21	$2,118.79	$2,118.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,628.82 / $13,988.24 / $15,609.38	Professional		$11,628.82	$13,988.24	$15,609.38
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2,613.17 / $2,958.87 / $3,439.95	Professional	26	$2,613.17	$2,958.87	$3,439.95
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $9,015.64 / $9,015.64 / $12,169.43	Professional	TC	$9,015.64	$9,015.64	$12,169.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,503.08 / $2,124.35 / $3,727.17	Professional		$1,503.08	$2,124.35	$3,727.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $402.98 / $496.71 / $871.47	Professional	26	$402.98	$496.71	$871.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,100.52 / $1,627.64 / $2,855.70	Professional	TC	$1,100.52	$1,627.64	$2,855.70