Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $44.67 / $269.15	Facility	26	$42.66	$44.67	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $549.54	Professional		$257.04	$331.13	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $123.03	Professional	26	$38.02	$50.12	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $288.40 / $478.63	Professional	TC	$223.87	$288.40	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $295.12	Professional		$218.78	$218.78	$295.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $45.71 / $91.20	Professional	26	$37.15	$45.71	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $630.96	Professional		$263.03	$263.03	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $87.10 / $138.04	Professional	26	$63.10	$87.10	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $524.81 / $794.33	Professional	TC	$338.84	$524.81	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $758.58	Professional		$295.12	$489.78	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $77.62 / $114.82	Professional	26	$51.29	$77.62	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $416.87 / $645.65	Professional	TC	$251.19	$416.87	$645.65
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	26	$316.23	$316.23	$316.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $2,884.03	Professional		$2,344.23	$2,884.03	$2,884.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $380.19 / $398.11 / $398.11	Professional	26	$380.19	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,041.74 / $2,454.71 / $2,454.71	Professional	TC	$2,041.74	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $776.25	Professional		$302.00	$436.52	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $63.10 / $109.65	Professional	26	$50.12	$63.10	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $371.54 / $645.65	Professional	TC	$257.04	$371.54	$645.65