Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.73 / $302.97 / $388.87	Professional		$286.73	$302.97	$388.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.93 / $49.44 / $67.27	Professional	26	$46.93	$49.44	$67.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $238.96 / $253.53 / $322.32	Professional	TC	$238.96	$253.53	$322.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.35 / $236.35 / $236.87	Professional		$236.35	$236.35	$236.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.00 / $87.00 / $87.00	Professional	26	$87.00	$87.00	$87.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $340.21 / $650.19	Professional		$242.52	$340.21	$650.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.44 / $89.96 / $125.55	Professional	26	$54.44	$89.96	$125.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $164.03 / $252.91 / $537.38	Professional	TC	$164.03	$252.91	$537.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.44 / $32.52 / $243.03	Facility	26	$30.44	$32.52	$243.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.47 / $239.21 / $580.71	Professional		$168.47	$239.21	$580.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.47 / $53.63 / $130.88	Professional	26	$30.47	$53.63	$130.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.82 / $177.40 / $537.66	Professional	TC	$126.82	$177.40	$537.66
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $151.56 / $283.08 / $309.61	Facility	26	$151.56	$283.08	$309.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,575.76 / $2,575.76 / $3,260.25	Professional		$2,575.76	$2,575.76	$3,260.25
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $393.91 / $393.91 / $495.83	Professional	26	$393.91	$393.91	$495.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,181.85 / $2,181.85 / $2,764.35	Professional	TC	$2,181.85	$2,181.85	$2,764.35
United Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $228.78 / $709.06	Professional		$118.10	$228.78	$709.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.39 / $59.95 / $125.81	Professional	26	$36.39	$59.95	$125.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.77 / $192.79 / $563.60	Professional	TC	$79.77	$192.79	$563.60