Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.84 / $83.84 / $156.78	Facility	26	$83.84	$83.84	$156.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.91 / $783.49 / $1,263.32	Professional		$740.91	$783.49	$1,263.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.84 / $87.70 / $148.09	Professional	26	$83.84	$87.70	$148.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $657.06 / $694.82 / $1,117.39	Professional	TC	$657.06	$694.82	$1,117.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $180.25 / $180.25 / $180.25	Professional	26	$180.25	$180.25	$180.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.90 / $1,090.34 / $1,635.53	Professional		$638.90	$1,090.34	$1,635.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.44 / $148.27 / $233.66	Professional	26	$97.44	$148.27	$233.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $746.84 / $1,110.58 / $1,797.47	Professional	TC	$746.84	$1,110.58	$1,797.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.47 / $1,362.22 / $1,995.39	Professional		$695.47	$1,362.22	$1,995.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.23 / $165.00 / $232.39	Professional	26	$84.23	$165.00	$232.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $611.55 / $1,213.04 / $1,763.96	Professional	TC	$611.55	$1,213.04	$1,763.96
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $229.45 / $468.97 / $468.97	Facility	26	$229.45	$468.97	$468.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,628.92 / $5,628.92 / $6,769.20	Professional		$5,628.92	$5,628.92	$6,769.20
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $611.21 / $611.21 / $766.58	Professional	26	$611.21	$611.21	$766.58
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,017.71 / $5,017.71 / $6,002.63	Professional	TC	$5,017.71	$5,017.71	$6,002.63
United Facility/Professional Professional Modifier Low / Median / High Price $862.58 / $1,180.43 / $2,099.32	Professional		$862.58	$1,180.43	$2,099.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.29 / $120.60 / $257.95	Professional	26	$96.29	$120.60	$257.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $762.08 / $914.50 / $1,841.36	Professional	TC	$762.08	$914.50	$1,841.36