Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $501.19 / $524.81	Facility	26	$151.36	$501.19	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $239.88	Professional		$100.00	$131.83	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $44.67 / $83.18	Professional	TC	$34.67	$44.67	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $269.15	Professional		$44.67	$45.71	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $74.13 / $107.15	Professional	TC	$47.86	$74.13	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $338.84	Professional		$138.04	$213.80	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $72.44 / $151.36	Professional	TC	$46.77	$72.44	$151.36
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	26	$588.84	$588.84	$588.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,202.26	Professional		$1,148.15	$1,202.26	$1,202.26
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $602.56 / $602.56	Professional	TC	$602.56	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $302.00	Professional		$141.25	$186.21	$302.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $63.10 / $102.33	Professional	TC	$46.77	$63.10	$102.33