Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.63 / $104.81 / $176.73	Facility	26	$66.63	$104.81	$176.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $214.53 / $506.70	Professional		$176.47	$214.53	$506.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.27 / $79.61 / $188.62	Professional	26	$64.27	$79.61	$188.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.82 / $142.30 / $224.16	Professional	TC	$107.82	$142.30	$224.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $401.74 / $401.74 / $401.74	Professional		$401.74	$401.74	$401.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $94.50 / $119.35 / $189.00	Professional	26	$94.50	$119.35	$189.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.34 / $276.72 / $468.18	Professional		$197.34	$276.72	$468.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.02 / $98.68 / $152.19	Professional	26	$70.02	$98.68	$152.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.85 / $177.20 / $301.31	Professional	TC	$123.85	$177.20	$301.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.01 / $78.01 / $78.01	Facility	26	$78.01	$78.01	$78.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.72 / $248.82 / $407.65	Professional		$173.72	$248.82	$407.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.61 / $99.89 / $163.32	Professional	26	$69.61	$99.89	$163.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.21 / $152.76 / $276.01	Professional	TC	$96.21	$152.76	$276.01
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $160.72 / $557.91 / $557.91	Facility	26	$160.72	$557.91	$557.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,518.68 / $1,677.02 / $1,677.02	Professional		$1,518.68	$1,677.02	$1,677.02
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $718.23 / $718.23 / $718.23	Professional	26	$718.23	$718.23	$718.23
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $978.30 / $985.97 / $985.97	Professional	TC	$978.30	$985.97	$985.97
United Facility/Professional Professional Modifier Low / Median / High Price $168.09 / $220.77 / $412.69	Professional		$168.09	$220.77	$412.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.61 / $87.65 / $153.36	Professional	26	$65.61	$87.65	$153.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.62 / $144.04 / $274.43	Professional	TC	$99.62	$144.04	$274.43