Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.09 / $94.26 / $121.72	Facility	26	$65.09	$94.26	$121.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.45 / $433.43 / $717.38	Professional		$381.45	$433.43	$717.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.09 / $71.50 / $140.06	Professional	26	$65.09	$71.50	$140.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $316.36 / $365.81 / $556.34	Professional	TC	$316.36	$365.81	$556.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $370.42 / $638.23 / $804.35	Professional		$370.42	$638.23	$804.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.08 / $104.27 / $139.34	Professional	26	$69.08	$104.27	$139.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $608.35 / $608.35 / $608.35	Professional	TC	$608.35	$608.35	$608.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.76 / $540.70 / $927.98	Professional		$314.76	$540.70	$927.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.81 / $111.78 / $180.59	Professional	26	$75.81	$111.78	$180.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $369.87 / $537.44 / $874.04	Professional	TC	$369.87	$537.44	$874.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.80 / $662.07 / $1,060.48	Professional		$376.80	$662.07	$1,060.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.05 / $117.58 / $189.00	Professional	26	$66.05	$117.58	$189.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $304.62 / $550.52 / $871.48	Professional	TC	$304.62	$550.52	$871.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $178.45 / $367.41 / $367.41	Facility	26	$178.45	$367.41	$367.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,898.56 / $2,898.56 / $3,550.05	Professional		$2,898.56	$2,898.56	$3,550.05
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $479.37 / $479.37 / $597.08	Professional	26	$479.37	$479.37	$597.08
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,419.25 / $2,419.25 / $2,952.98	Professional	TC	$2,419.25	$2,419.25	$2,952.98
United Facility/Professional Professional Modifier Low / Median / High Price $445.91 / $607.45 / $1,109.61	Professional		$445.91	$607.45	$1,109.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.80 / $136.63 / $202.48	Professional	26	$76.80	$136.63	$202.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $377.39 / $605.78 / $934.57	Professional	TC	$377.39	$605.78	$934.57