Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $189.73 / $354.80 / $1,028.10	Facility	26	$189.73	$354.80	$1,028.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.37 / $583.20 / $785.08	Professional		$460.37	$583.20	$785.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.33 / $199.31 / $318.55	Professional	26	$168.33	$199.31	$318.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $654.61 / $654.61 / $654.61	Professional		$654.61	$654.61	$654.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $277.79 / $277.79 / $277.79	Professional	26	$277.79	$277.79	$277.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.70 / $737.91 / $1,162.08	Professional		$362.70	$737.91	$1,162.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $178.23 / $260.10 / $450.54	Professional	26	$178.23	$260.10	$450.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $313.33 / $313.33 / $313.33	Facility	26	$313.33	$313.33	$313.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.61 / $856.97 / $1,309.70	Professional		$554.61	$856.97	$1,309.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $190.28 / $293.36 / $454.53	Professional	26	$190.28	$293.36	$454.53
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $468.94 / $1,008.76 / $1,008.76	Facility	26	$468.94	$1,008.76	$1,008.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,771.72 / $3,771.72 / $5,136.53	Professional		$3,771.72	$3,771.72	$5,136.53
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,240.24 / $1,240.24 / $1,637.25	Professional	26	$1,240.24	$1,240.24	$1,637.25
United Facility/Professional Professional Modifier Low / Median / High Price $560.40 / $728.62 / $1,515.02	Professional		$560.40	$728.62	$1,515.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $191.31 / $236.20 / $414.41	Professional	26	$191.31	$236.20	$414.41