Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.36 / $55.36 / $347.18	Facility	26	$55.36	$55.36	$347.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.37 / $292.61 / $388.54	Professional		$274.37	$292.61	$388.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.37 / $57.91 / $96.60	Professional	26	$55.37	$57.91	$96.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $219.00 / $237.09 / $328.50	Professional	TC	$219.00	$237.09	$328.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.58 / $58.58 / $111.72	Professional	26	$58.58	$58.58	$111.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.41 / $399.41 / $674.77	Professional		$253.41	$399.41	$674.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.52 / $97.91 / $153.63	Professional	26	$64.52	$97.91	$153.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $256.31 / $368.02 / $606.72	Professional	TC	$256.31	$368.02	$606.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.06 / $476.08 / $763.32	Professional		$269.06	$476.08	$763.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.21 / $100.07 / $160.04	Professional	26	$56.21	$100.07	$160.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.15 / $381.37 / $603.28	Professional	TC	$208.15	$381.37	$603.28
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $151.49 / $311.41 / $311.41	Facility	26	$151.49	$311.41	$311.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,079.76 / $2,079.76 / $2,572.42	Professional		$2,079.76	$2,079.76	$2,572.42
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $405.29 / $405.29 / $505.58	Professional	26	$405.29	$405.29	$505.58
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,674.47 / $1,674.47 / $2,066.85	Professional	TC	$1,674.47	$1,674.47	$2,066.85
United Facility/Professional Professional Modifier Low / Median / High Price $327.32 / $495.18 / $804.20	Professional		$327.32	$495.18	$804.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.14 / $112.49 / $164.93	Professional	26	$65.14	$112.49	$164.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.44 / $371.43 / $651.36	Professional	TC	$259.44	$371.43	$651.36