Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.59 / $87.71 / $164.07	Facility	26	$79.59	$87.71	$164.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.83 / $269.73 / $795.39	Professional		$217.83	$269.73	$795.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.65 / $90.65 / $162.44	Professional	26	$76.65	$90.65	$162.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.24 / $165.09 / $276.99	Professional	TC	$138.24	$165.09	$276.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $306.39 / $306.39 / $412.96	Professional		$306.39	$306.39	$412.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $113.19 / $130.02 / $147.86	Professional	26	$113.19	$130.02	$147.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $321.93 / $530.23	Professional		$236.17	$321.93	$530.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.90 / $117.36 / $179.85	Professional	26	$83.90	$117.36	$179.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.08 / $203.83 / $351.63	Professional	TC	$151.08	$203.83	$351.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.46 / $93.46 / $93.46	Facility	26	$93.46	$93.46	$93.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.50 / $328.88 / $523.74	Professional		$218.50	$328.88	$523.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.25 / $120.62 / $197.78	Professional	26	$83.25	$120.62	$197.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.87 / $202.41 / $325.37	Professional	TC	$135.87	$202.41	$325.37
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $192.51 / $399.24 / $399.24	Facility	26	$192.51	$399.24	$399.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,380.40 / $2,380.40 / $2,380.40	Professional		$2,380.40	$2,380.40	$2,380.40
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $520.19 / $520.19 / $647.63	Professional	26	$520.19	$520.19	$647.63
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $982.86 / $982.86 / $1,266.38	Professional	TC	$982.86	$982.86	$1,266.38
United Facility/Professional Professional Modifier Low / Median / High Price $215.34 / $287.12 / $495.63	Professional		$215.34	$287.12	$495.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.61 / $112.07 / $183.74	Professional	26	$78.61	$112.07	$183.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.86 / $185.97 / $314.93	Professional	TC	$135.86	$185.97	$314.93