Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.88 / $165.37 / $782.25	Facility	26	$144.88	$165.37	$782.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $415.31 / $564.50	Professional		$317.47	$415.31	$564.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.12 / $152.19 / $204.88	Professional	26	$112.12	$152.19	$204.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.33 / $264.58 / $359.62	Professional	TC	$199.33	$264.58	$359.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $496.18 / $496.18 / $496.18	Professional		$496.18	$496.18	$496.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $140.58 / $260.27 / $260.27	Professional	26	$140.58	$260.27	$260.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $444.85 / $789.78	Professional		$212.20	$444.85	$789.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.88 / $201.58 / $346.94	Professional	26	$131.88	$201.58	$346.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $183.11 / $264.19 / $528.39	Professional	TC	$183.11	$264.19	$528.39
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 $376.72 / $583.35 / $988.86	Professional		$376.72	$583.35	$988.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.15 / $223.11 / $344.53	Professional	26	$144.15	$223.11	$344.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.50 / $338.54 / $646.17	Professional	TC	$228.50	$338.54	$646.17
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $357.19 / $767.93 / $767.93	Facility	26	$357.19	$767.93	$767.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,872.34 / $2,872.34 / $3,891.45	Professional		$2,872.34	$2,872.34	$3,891.45
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $948.42 / $948.42 / $1,248.45	Professional	26	$948.42	$948.42	$1,248.45
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,923.92 / $1,923.92 / $2,643.00	Professional	TC	$1,923.92	$1,923.92	$2,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.87 / $440.68 / $952.47	Professional		$335.87	$440.68	$952.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $145.72 / $180.07 / $390.30	Professional	26	$145.72	$180.07	$390.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.09 / $260.57 / $529.37	Professional	TC	$181.09	$260.57	$529.37