Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $602.56	Professional		$204.17	$275.42	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $40.74 / $239.88	Professional	26	$30.90	$40.74	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $223.87 / $436.52	Professional	TC	$165.96	$223.87	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $147.91	Professional		$120.23	$123.03	$147.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $102.33 / $102.33	Professional	TC	$102.33	$102.33	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $537.03	Professional		$141.25	$251.19	$537.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $46.77 / $81.28	Professional	26	$22.39	$46.77	$81.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $194.98 / $467.74	Professional	TC	$107.15	$194.98	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $426.58	Professional		$120.23	$208.93	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $40.74 / $85.11	Professional	26	$19.95	$40.74	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $181.97 / $389.05	Professional	TC	$100.00	$181.97	$389.05
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,290.87	Professional		$2,089.30	$2,290.87	$2,290.87
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $323.59 / $323.59	Professional	26	$269.15	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,819.70 / $1,949.84 / $1,949.84	Professional	TC	$1,819.70	$1,949.84	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $446.68	Professional		$112.20	$190.55	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $41.69 / $81.28	Professional	26	$25.12	$41.69	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $162.18 / $380.19	Professional	TC	$85.11	$162.18	$380.19