Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $50.12 / $229.09	Facility	26	$36.31	$50.12	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $691.83	Professional		$295.12	$398.11	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $50.12 / $144.54	Professional	26	$33.88	$50.12	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $354.81 / $562.34	Professional	TC	$263.03	$354.81	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $660.69	Professional		$380.19	$380.19	$660.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $38.90 / $69.18	Professional	26	$31.62	$38.90	$69.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	TC	$309.03	$309.03	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $831.76	Professional		$371.54	$371.54	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $117.49	Professional	26	$51.29	$74.13	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $660.69 / $1,023.29	Professional	TC	$467.74	$660.69	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,000.00	Professional		$407.38	$645.65	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $66.07 / $102.33	Professional	26	$40.74	$66.07	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $575.44 / $912.01	Professional	TC	$363.08	$575.44	$912.01
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $3,311.31	Professional		$2,691.53	$3,311.31	$3,311.31
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $338.84 / $338.84	Professional	26	$269.15	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,398.83 / $2,951.21 / $2,951.21	Professional	TC	$2,398.83	$2,951.21	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $933.25	Professional		$416.87	$537.03	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $91.20	Professional	26	$42.66	$56.23	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $501.19 / $851.14	Professional	TC	$380.19	$501.19	$851.14