Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.25 / $127.72 / $164.76	Professional		$121.25	$127.72	$164.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.75 / $29.60 / $103.00	Professional	26	$27.75	$29.60	$103.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.50 / $98.49 / $124.94	Professional	TC	$93.50	$98.49	$124.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $76.09 / $103.66	Professional		$75.37	$76.09	$103.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.05 / $17.60 / $69.89	Professional	26	$16.05	$17.60	$69.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $58.63 / $83.79 / $83.80	Professional	TC	$58.63	$83.79	$83.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $168.47 / $271.42	Professional		$118.28	$168.47	$271.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.42 / $52.91 / $76.12	Professional	26	$33.42	$52.91	$76.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.89 / $116.57 / $216.61	Professional	TC	$84.89	$116.57	$216.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.38 / $58.10 / $528.48	Facility		$54.38	$58.10	$528.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $19.89 / $213.67	Facility	26	$18.62	$19.89	$213.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $109.86 / $285.61	Professional		$75.18	$109.86	$285.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.13 / $32.58 / $78.08	Professional	26	$18.13	$32.58	$78.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.72 / $82.45 / $211.32	Professional	TC	$57.72	$82.45	$211.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $343.62 / $782.64 / $928.91	Facility		$343.62	$782.64	$928.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $88.99 / $213.67 / $213.67	Facility	26	$88.99	$213.67	$213.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.50 / $1,081.50 / $1,445.93	Professional		$1,081.50	$1,081.50	$1,445.93
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $235.79 / $235.79 / $299.10	Professional	26	$235.79	$235.79	$299.10
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $845.71 / $845.71 / $1,146.83	Professional	TC	$845.71	$845.71	$1,146.83
United Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $106.17 / $297.16	Professional		$64.52	$106.17	$297.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.20 / $36.60 / $73.53	Professional	26	$23.20	$36.60	$73.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.30 / $81.20 / $195.53	Professional	TC	$41.30	$81.20	$195.53