Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $87.10 / $165.96	Facility	26	$79.43	$87.10	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $1,122.02	Professional		$218.78	$309.03	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $112.20 / $380.19	Professional	26	$77.62	$112.20	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $173.78 / $295.12	Professional	TC	$138.04	$173.78	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $269.15	Professional		$194.98	$229.09	$269.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $117.49 / $138.04	Professional	26	$77.62	$117.49	$138.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	TC	$288.40	$288.40	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $512.86	Professional		$173.78	$309.03	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $128.82 / $190.55	Professional	26	$93.33	$128.82	$190.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $229.09 / $354.81	Professional	TC	$158.49	$229.09	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $93.33 / $131.83	Facility	26	$19.95	$93.33	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $478.63	Professional		$218.78	$323.59	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $120.23 / $177.83	Professional	26	$83.18	$120.23	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $194.98 / $295.12	Professional	TC	$134.90	$194.98	$295.12
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $524.81 / $645.65 / $645.65	Professional	26	$524.81	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $977.24 / $1,258.93 / $1,258.93	Professional	TC	$977.24	$1,258.93	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $446.68	Professional		$213.80	$288.40	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $104.71 / $169.82	Professional	26	$79.43	$104.71	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $173.78 / $281.84	Professional	TC	$134.90	$173.78	$281.84