Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $250.89 / $312.83	Professional		$219.14	$250.89	$312.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.94 / $33.64 / $45.59	Professional	26	$31.94	$33.64	$45.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.16 / $217.25 / $267.25	Professional	TC	$187.16	$217.25	$267.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $119.79 / $225.25	Professional		$119.79	$119.79	$225.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.04 / $19.04 / $19.14	Professional	26	$19.04	$19.04	$19.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $100.75 / $100.75 / $100.75	Professional	TC	$100.75	$100.75	$100.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.14 / $296.94 / $542.95	Professional		$230.14	$296.94	$542.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.03 / $59.87 / $86.11	Professional	26	$38.03	$59.87	$86.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $176.26 / $247.26 / $465.12	Professional	TC	$176.26	$247.26	$465.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.33 / $47.33 / $47.33	Facility	26	$47.33	$47.33	$47.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.25 / $213.25 / $509.13	Professional		$118.25	$213.25	$509.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $36.86 / $89.94	Professional	26	$20.39	$36.86	$89.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.20 / $180.11 / $471.85	Professional	TC	$99.20	$180.11	$471.85
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $98.57 / $183.18 / $199.50	Facility	26	$98.57	$183.18	$199.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,077.04 / $2,077.04 / $2,291.85	Professional		$2,077.04	$2,077.04	$2,291.85
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $267.88 / $267.88 / $320.70	Professional	26	$267.88	$267.88	$320.70
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,809.15 / $1,809.15 / $1,971.15	Professional	TC	$1,809.15	$1,809.15	$1,971.15
United Facility/Professional Professional Modifier Low / Median / High Price $112.15 / $208.96 / $492.12	Professional		$112.15	$208.96	$492.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.97 / $41.24 / $80.98	Professional	26	$24.97	$41.24	$80.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.72 / $162.49 / $405.89	Professional	TC	$81.72	$162.49	$405.89