Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $302.00 / $1,148.15	Facility	26	$223.87	$302.00	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $812.83	Professional		$338.84	$489.78	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $269.15 / $676.08	Professional	26	$186.21	$269.15	$676.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $257.04 / $416.87	Professional	TC	$173.78	$257.04	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $912.01	Professional		$323.59	$446.68	$912.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $218.78 / $371.54	Professional	26	$173.78	$218.78	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $912.01	Professional		$251.19	$251.19	$912.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $323.59 / $524.81	Professional	26	$218.78	$323.59	$524.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $371.54 / $616.60	Professional	TC	$257.04	$371.54	$616.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,023.29	Professional		$467.74	$676.08	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $331.13 / $489.78	Professional	26	$218.78	$331.13	$489.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $363.08 / $537.03	Professional	TC	$245.47	$363.08	$537.03
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility	26	$1,412.54	$1,412.54	$1,412.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $3,981.07	Professional		$2,884.03	$3,981.07	$3,981.07
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,412.54 / $1,862.09 / $1,862.09	Professional	26	$1,412.54	$1,862.09	$1,862.09
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,479.11 / $2,137.96 / $2,137.96	Professional	TC	$1,479.11	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $933.25	Professional		$457.09	$549.54	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $269.15 / $436.52	Professional	26	$213.80	$269.15	$436.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $281.84 / $478.63	Professional	TC	$245.47	$281.84	$478.63