Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.85 / $107.00 / $548.15	Facility	26	$101.85	$107.00	$548.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $161.88 / $237.47	Professional		$112.75	$161.88	$237.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.55 / $107.00 / $180.03	Professional	26	$90.55	$107.00	$180.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.20 / $30.55 / $100.62	Professional	TC	$22.20	$30.55	$100.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.57 / $163.38 / $264.13	Professional		$104.57	$163.38	$264.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.60 / $101.52 / $187.36	Professional	26	$84.60	$101.52	$187.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $194.46 / $306.20	Professional		$33.68	$194.46	$306.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.39 / $140.04 / $234.36	Professional	26	$92.39	$140.04	$234.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.19 / $53.10 / $143.76	Professional	TC	$24.19	$53.10	$143.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $167.06 / $167.06 / $167.06	Facility	26	$167.06	$167.06	$167.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $255.33 / $595.29	Professional		$132.80	$255.33	$595.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.36 / $156.61 / $240.54	Professional	26	$102.36	$156.61	$240.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.01 / $52.16 / $468.22	Professional	TC	$30.01	$52.16	$468.22
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $250.54 / $722.52 / $722.52	Facility	26	$250.54	$722.52	$722.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,014.42 / $3,104.86 / $3,104.86	Professional		$3,014.42	$3,104.86	$3,104.86
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $873.45 / $1,056.82 / $1,056.82	Professional	26	$873.45	$1,056.82	$1,056.82
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,488.46 / $2,563.11 / $2,563.11	Professional	TC	$2,488.46	$2,563.11	$2,563.11
United Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $203.21 / $539.76	Professional		$128.84	$203.21	$539.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.65 / $126.81 / $274.58	Professional	26	$102.65	$126.81	$274.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.16 / $48.78 / $308.81	Professional	TC	$24.16	$48.78	$308.81