Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $30.90 / $186.21	Facility	26	$29.51	$30.90	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $524.81	Professional		$223.87	$302.00	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $40.74 / $125.89	Professional	26	$28.18	$40.74	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $263.03 / $416.87	Professional	TC	$204.17	$263.03	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $489.78	Professional		$316.23	$316.23	$489.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $31.62 / $57.54	Professional	26	$25.70	$31.62	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $616.60	Professional		$269.15	$269.15	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $60.26 / $87.10	Professional	26	$42.66	$60.26	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $478.63 / $741.31	Professional	TC	$338.84	$478.63	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $741.31	Professional		$295.12	$478.63	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $53.70 / $85.11	Professional	26	$33.88	$53.70	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $426.58 / $645.65	Professional	TC	$263.03	$426.58	$645.65
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $2,454.71	Professional		$1,995.26	$2,454.71	$2,454.71
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $275.42 / $275.42	Professional	26	$218.78	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,778.28 / $2,187.76 / $2,187.76	Professional	TC	$1,778.28	$2,187.76	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $691.83	Professional		$309.03	$398.11	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $75.86	Professional	26	$34.67	$46.77	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $363.08 / $630.96	Professional	TC	$275.42	$363.08	$630.96