Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.51 / $1,277.51 / $1,277.51	Facility		$1,277.51	$1,277.51	$1,277.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.87 / $229.52 / $358.27	Professional		$197.87	$229.52	$358.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.07 / $79.45 / $739.61	Professional	26	$61.07	$79.45	$739.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.01 / $149.84 / $215.91	Professional	TC	$138.01	$149.84	$215.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $126.90 / $287.37	Professional		$126.10	$126.90	$287.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.79 / $37.13 / $149.40	Professional	26	$36.79	$37.13	$149.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.53 / $309.74 / $535.66	Professional		$229.53	$309.74	$535.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.44 / $110.06 / $164.39	Professional	26	$69.44	$110.06	$164.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $149.31 / $196.13 / $380.74	Professional	TC	$149.31	$196.13	$380.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.40 / $94.45 / $486.49	Facility		$88.40	$94.45	$486.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.25 / $39.79 / $142.01	Facility	26	$37.25	$39.79	$142.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $51.15 / $54.65 / $344.47	Facility	TC	$51.15	$54.65	$344.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $190.53 / $471.48	Professional		$123.36	$190.53	$471.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.92 / $69.63 / $167.00	Professional	26	$37.92	$69.63	$167.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.06 / $104.63 / $312.55	Professional	TC	$81.06	$104.63	$312.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $578.07 / $1,301.88 / $1,535.15	Facility		$578.07	$1,301.88	$1,535.15
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $187.11 / $358.77 / $395.34	Facility	26	$187.11	$358.77	$395.34
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $398.57 / $943.11 / $1,139.81	Facility	TC	$398.57	$943.11	$1,139.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,813.36 / $1,813.36 / $2,402.03	Professional		$1,813.36	$1,813.36	$2,402.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $509.36 / $509.36 / $635.03	Professional	26	$509.36	$509.36	$635.03
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,303.99 / $1,303.99 / $1,767.00	Professional	TC	$1,303.99	$1,303.99	$1,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $221.34 / $492.64	Professional		$148.87	$221.34	$492.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.19 / $77.16 / $148.10	Professional	26	$47.19	$77.16	$148.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.74 / $119.86 / $328.56	Professional	TC	$83.74	$119.86	$328.56