Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $1,023.29	Professional		$295.12	$407.38	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $239.88 / $724.44	Professional	26	$107.15	$239.88	$724.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $269.15 / $467.74	Professional	TC	$194.98	$269.15	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $263.03	Professional	26	$64.57	$64.57	$263.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $125.89 / $173.78	Professional	TC	$125.89	$125.89	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $691.83	Professional		$199.53	$407.38	$691.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $151.36 / $269.15	Professional	26	$72.44	$151.36	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $229.09 / $416.87	Professional	TC	$120.23	$229.09	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $66.07 / $123.03	Facility	26	$61.66	$66.07	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $758.58	Professional		$177.83	$251.19	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $109.65 / $281.84	Professional	26	$67.61	$109.65	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $144.54 / $489.78	Professional	TC	$97.72	$144.54	$489.78
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	26	$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $3,548.13	Professional		$2,754.23	$3,548.13	$3,548.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $891.25 / $1,122.02 / $1,122.02	Professional	26	$891.25	$1,122.02	$1,122.02
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,862.09 / $2,454.71 / $2,454.71	Professional	TC	$1,862.09	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $562.34	Professional		$229.09	$331.13	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $128.82 / $234.42	Professional	26	$81.28	$128.82	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $190.55 / $354.81	Professional	TC	$131.83	$190.55	$354.81