Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $261.02 / $261.02	Facility		$261.02	$261.02	$261.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $118.58 / $190.15	Professional		$108.11	$118.58	$190.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.13 / $62.31 / $400.55	Professional	26	$51.13	$62.31	$400.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.98 / $66.56 / $95.37	Professional	TC	$56.98	$66.56	$95.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $76.48 / $76.48	Professional		$76.48	$76.48	$76.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.43 / $31.56 / $126.25	Professional	26	$31.43	$31.56	$126.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.41 / $180.63 / $273.67	Professional		$125.41	$180.63	$273.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.73 / $93.04 / $132.47	Professional	26	$60.73	$93.04	$132.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.09 / $90.41 / $136.16	Professional	TC	$66.09	$90.41	$136.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $65.70 / $228.07	Facility		$61.50	$65.70	$228.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.34 / $34.54 / $115.28	Facility	26	$32.34	$34.54	$115.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $109.79 / $259.11	Professional		$71.97	$109.79	$259.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $59.48 / $142.94	Professional	26	$32.40	$59.48	$142.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.36 / $49.78 / $129.96	Professional	TC	$36.36	$49.78	$129.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $355.72 / $778.10 / $905.83	Facility		$355.72	$778.10	$905.83
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $160.49 / $305.79 / $336.59	Facility	26	$160.49	$305.79	$336.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,961.76 / $1,961.76 / $1,961.76	Professional		$1,961.76	$1,961.76	$1,961.76
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $434.05 / $434.05 / $539.70	Professional	26	$434.05	$434.05	$539.70
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $557.54 / $557.54 / $887.33	Professional	TC	$557.54	$557.54	$887.33
United Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $131.99 / $304.82	Professional		$83.35	$131.99	$304.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.35 / $66.23 / $129.10	Professional	26	$40.35	$66.23	$129.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.00 / $65.37 / $176.46	Professional	TC	$43.00	$65.37	$176.46