Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.35 / $81.09 / $311.22	Facility	26	$57.35	$81.09	$311.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $139.08 / $816.14	Professional		$107.28	$139.08	$816.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $65.45 / $340.72	Professional	26	$53.67	$65.45	$340.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.43 / $70.72 / $104.48	Professional	TC	$56.43	$70.72	$104.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $115.70 / $254.16	Professional		$88.08	$115.70	$254.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.74 / $61.78 / $110.94	Professional	26	$47.74	$61.78	$110.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $171.31 / $256.45	Professional		$62.21	$171.31	$256.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.87 / $82.75 / $137.55	Professional	26	$53.87	$82.75	$137.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.56 / $98.52 / $143.65	Professional	TC	$57.56	$98.52	$143.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.84 / $94.84 / $94.84	Facility	26	$94.84	$94.84	$94.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.49 / $195.17 / $313.95	Professional		$121.49	$195.17	$313.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.89 / $89.26 / $135.94	Professional	26	$57.89	$89.26	$135.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.21 / $111.74 / $197.16	Professional	TC	$62.21	$111.74	$197.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $141.46 / $347.58 / $347.58	Facility	26	$141.46	$347.58	$347.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.00 / $1,067.26 / $1,067.26	Professional		$1,049.00	$1,067.26	$1,067.26
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $716.57 / $855.01 / $855.01	Professional	26	$716.57	$855.01	$855.01
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $724.87 / $746.61 / $746.61	Professional	TC	$724.87	$746.61	$746.61
United Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $191.85 / $317.64	Professional		$121.16	$191.85	$317.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.89 / $71.88 / $154.57	Professional	26	$58.89	$71.88	$154.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.76 / $90.88 / $155.81	Professional	TC	$62.76	$90.88	$155.81