Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.91 / $302.50 / $1,158.61	Facility	26	$213.91	$302.50	$1,158.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.47 / $470.83 / $694.18	Professional		$402.47	$470.83	$694.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $188.34 / $224.71 / $400.01	Professional	26	$188.34	$224.71	$400.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.79 / $255.10 / $354.60	Professional	TC	$212.79	$255.10	$354.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.50 / $516.41 / $843.89	Professional		$330.50	$516.41	$843.89
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 $249.74 / $608.53 / $993.94	Professional		$249.74	$608.53	$993.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $196.91 / $299.81 / $492.21	Professional	26	$196.91	$299.81	$492.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $217.53 / $331.97 / $541.13	Professional	TC	$217.53	$331.97	$541.13
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 $462.88 / $698.97 / $1,058.83	Professional		$462.88	$698.97	$1,058.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $215.12 / $330.62 / $513.17	Professional	26	$215.12	$330.62	$513.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $243.16 / $367.64 / $564.41	Professional	TC	$243.16	$367.64	$564.41
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $528.44 / $1,135.96 / $1,135.96	Facility	26	$528.44	$1,135.96	$1,135.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,895.04 / $2,895.04 / $3,961.13	Professional		$2,895.04	$2,895.04	$3,961.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,405.16 / $1,405.16 / $1,841.48	Professional	26	$1,405.16	$1,405.16	$1,841.48
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,489.88 / $1,489.88 / $2,119.73	Professional	TC	$1,489.88	$1,489.88	$2,119.73
United Facility/Professional Professional Modifier Low / Median / High Price $458.82 / $550.58 / $1,070.72	Professional		$458.82	$550.58	$1,070.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $216.15 / $266.77 / $486.82	Professional	26	$216.15	$266.77	$486.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.70 / $283.80 / $583.90	Professional	TC	$243.70	$283.80	$583.90