Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.42 / $449.17 / $578.48	Professional		$426.42	$449.17	$578.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.17 / $44.41 / $57.01	Professional	26	$42.17	$44.41	$57.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $384.26 / $404.75 / $527.04	Professional	TC	$384.26	$404.75	$527.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $347.32 / $347.32 / $347.32	Professional		$347.32	$347.32	$347.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.40 / $26.40 / $26.40	Professional	26	$26.40	$26.40	$26.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.65 / $698.97 / $1,105.13	Professional		$494.65	$698.97	$1,105.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.72 / $74.58 / $105.28	Professional	26	$49.72	$74.58	$105.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $445.74 / $622.91 / $997.79	Professional	TC	$445.74	$622.91	$997.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.26 / $25.92 / $89.93	Facility	26	$24.26	$25.92	$89.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.12 / $362.57 / $1,222.60	Professional		$261.12	$362.57	$1,222.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.01 / $43.68 / $118.81	Professional	26	$27.01	$43.68	$118.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.10 / $322.52 / $1,103.80	Professional	TC	$234.10	$322.52	$1,103.80
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $135.07 / $255.86 / $280.44	Facility	26	$135.07	$255.86	$280.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,946.60 / $3,946.60 / $4,720.28	Professional		$3,946.60	$3,946.60	$4,720.28
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $363.38 / $363.38 / $451.05	Professional	26	$363.38	$363.38	$451.05
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $3,586.83 / $3,586.83 / $4,269.22	Professional	TC	$3,586.83	$3,586.83	$4,269.22
United Facility/Professional Professional Modifier Low / Median / High Price $319.52 / $481.36 / $1,034.04	Professional		$319.52	$481.36	$1,034.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.33 / $48.77 / $102.12	Professional	26	$32.33	$48.77	$102.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $284.58 / $381.37 / $884.91	Professional	TC	$284.58	$381.37	$884.91