Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.19 / $205.31 / $782.25	Facility	26	$145.19	$205.31	$782.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.88 / $280.45 / $481.95	Professional		$244.88	$280.45	$481.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.87 / $152.52 / $243.07	Professional	26	$128.87	$152.52	$243.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.02 / $132.43 / $172.21	Professional	TC	$116.02	$132.43	$172.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.45 / $222.45 / $477.94	Professional		$222.45	$222.45	$477.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $113.74 / $145.02 / $261.58	Professional	26	$113.74	$145.02	$261.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.32 / $353.09 / $569.04	Professional		$120.32	$353.09	$569.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $136.38 / $201.58 / $344.02	Professional	26	$136.38	$201.58	$344.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.30 / $173.30 / $292.77	Professional	TC	$114.30	$173.30	$292.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.40 / $238.40 / $238.40	Facility	26	$238.40	$238.40	$238.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.89 / $415.34 / $628.67	Professional		$266.89	$415.34	$628.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.15 / $223.57 / $344.53	Professional	26	$144.15	$223.57	$344.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.52 / $192.82 / $284.29	Professional	TC	$121.52	$192.82	$284.29
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $357.82 / $769.74 / $769.74	Facility	26	$357.82	$769.74	$769.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,788.06 / $1,788.06 / $2,427.08	Professional		$1,788.06	$1,788.06	$2,427.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $948.42 / $948.42 / $1,251.23	Professional	26	$948.42	$948.42	$1,251.23
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $839.64 / $839.64 / $1,175.84	Professional	TC	$839.64	$839.64	$1,175.84
United Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $328.79 / $772.98	Professional		$272.08	$328.79	$772.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $141.62 / $180.46 / $391.17	Professional	26	$141.62	$180.46	$391.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.61 / $148.33 / $260.25	Professional	TC	$123.61	$148.33	$260.25