Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.16 / $92.13 / $156.93	Facility	26	$59.16	$92.13	$156.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.11 / $237.09 / $710.80	Professional		$208.11	$237.09	$710.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $70.00 / $226.90	Professional	26	$57.00	$70.00	$226.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.04 / $165.55 / $273.91	Professional	TC	$150.04	$165.55	$273.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.16 / $112.16 / $112.16	Professional	26	$112.16	$112.16	$112.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.98 / $290.52 / $461.60	Professional		$216.98	$290.52	$461.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.60 / $87.24 / $134.19	Professional	26	$62.60	$87.24	$134.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $152.37 / $204.43 / $330.44	Professional	TC	$152.37	$204.43	$330.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.50 / $69.50 / $69.50	Facility	26	$69.50	$69.50	$69.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.86 / $289.89 / $481.43	Professional		$216.86	$289.89	$481.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.27 / $87.38 / $145.50	Professional	26	$62.27	$87.38	$145.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.13 / $204.07 / $369.08	Professional	TC	$154.13	$204.07	$369.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $143.07 / $296.77 / $314.00	Facility	26	$143.07	$296.77	$314.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.20 / $1,442.20 / $1,800.98	Professional		$1,442.20	$1,442.20	$1,800.98
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $482.10 / $507.29 / $507.29	Professional	26	$482.10	$507.29	$507.29
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,055.58 / $1,055.58 / $1,318.88	Professional	TC	$1,055.58	$1,055.58	$1,318.88
United Facility/Professional Professional Modifier Low / Median / High Price $200.53 / $261.44 / $474.29	Professional		$200.53	$261.44	$474.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.79 / $77.33 / $137.37	Professional	26	$58.79	$77.33	$137.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.01 / $183.40 / $337.09	Professional	TC	$136.01	$183.40	$337.09