Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.35 / $102.26 / $525.21	Facility	26	$97.35	$102.26	$525.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $333.95 / $449.55	Professional		$293.74	$333.95	$449.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.24 / $102.26 / $154.13	Professional	26	$86.24	$102.26	$154.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.15 / $231.69 / $311.89	Professional	TC	$204.15	$231.69	$311.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.48 / $97.52 / $143.41	Professional	26	$76.48	$97.52	$143.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.22 / $402.75 / $703.38	Professional		$209.22	$402.75	$703.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.45 / $135.36 / $231.01	Professional	26	$91.45	$135.36	$231.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.26 / $282.14 / $476.39	Professional	TC	$191.26	$282.14	$476.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.07 / $160.07 / $160.07	Facility	26	$160.07	$160.07	$160.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.79 / $487.55 / $749.01	Professional		$316.79	$487.55	$749.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.60 / $150.07 / $233.44	Professional	26	$97.60	$150.07	$233.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.58 / $329.75 / $518.52	Professional	TC	$218.58	$329.75	$518.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $240.70 / $517.75 / $517.75	Facility	26	$240.70	$517.75	$517.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,193.48 / $2,193.48 / $2,933.78	Professional		$2,193.48	$2,193.48	$2,933.78
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $640.52 / $640.52 / $837.45	Professional	26	$640.52	$640.52	$837.45
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,552.95 / $1,552.95 / $2,096.33	Professional	TC	$1,552.95	$1,552.95	$2,096.33
United Facility/Professional Professional Modifier Low / Median / High Price $307.64 / $375.95 / $843.83	Professional		$307.64	$375.95	$843.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.30 / $121.56 / $262.51	Professional	26	$98.30	$121.56	$262.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.81 / $254.39 / $446.32	Professional	TC	$208.81	$254.39	$446.32