Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.88 / $155.35 / $314.49	Facility	26	$105.88	$155.35	$314.49
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $43.68 / $45.50 / $120.71	Facility	53	$43.68	$45.50	$120.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.84 / $304.35 / $458.05	Professional		$226.84	$304.35	$458.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.06 / $116.15 / $322.30	Professional	26	$99.06	$116.15	$322.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $97.37 / $167.77 / $252.78	Professional	26	$97.37	$167.77	$252.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $360.34 / $512.97	Professional		$236.80	$360.34	$512.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.82 / $149.40 / $234.35	Professional	26	$107.82	$149.40	$234.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.36 / $120.36 / $120.36	Facility	26	$120.36	$120.36	$120.36
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.64 / $52.64 / $52.64	Facility	53	$52.64	$52.64	$52.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.04 / $347.78 / $558.59	Professional		$233.04	$347.78	$558.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.98 / $150.16 / $254.09	Professional	26	$107.98	$150.16	$254.09
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $760.56 / $961.28 / $985.36	Facility	26	$760.56	$961.28	$985.36
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $97.84 / $243.44 / $243.44	Facility	53	$97.84	$243.44	$243.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,920.39 / $1,920.39 / $1,927.13	Professional		$1,920.39	$1,920.39	$1,927.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $834.53 / $1,030.27 / $1,030.27	Professional	26	$834.53	$1,030.27	$1,030.27
United Facility/Professional Professional Modifier Low / Median / High Price $231.58 / $325.25 / $564.03	Professional		$231.58	$325.25	$564.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.67 / $135.36 / $238.02	Professional	26	$98.67	$135.36	$238.02