Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $268.30 / $368.71 / $821.32	Facility	26	$268.30	$368.71	$821.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.50 / $1,133.92 / $1,981.50	Professional		$999.50	$1,133.92	$1,981.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $268.30 / $341.57 / $1,205.85	Professional	26	$268.30	$341.57	$1,205.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $731.20 / $814.86 / $1,453.39	Professional	TC	$731.20	$814.86	$1,453.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $237.77 / $343.00 / $767.01	Professional	26	$237.77	$343.00	$767.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,022.96 / $1,361.05 / $2,197.67	Professional		$1,022.96	$1,361.05	$2,197.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $285.27 / $383.98 / $598.07	Professional	26	$285.27	$383.98	$598.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $710.37 / $972.66 / $1,629.90	Professional	TC	$710.37	$972.66	$1,629.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.83 / $1,529.90 / $2,315.26	Professional		$1,221.83	$1,529.90	$2,315.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $356.59 / $458.18 / $695.36	Professional	26	$356.59	$458.18	$695.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $850.20 / $1,080.01 / $1,619.90	Professional	TC	$850.20	$1,080.01	$1,619.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,118.00 / $2,579.04 / $2,654.96	Facility	26	$2,118.00	$2,579.04	$2,654.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,888.39 / $6,888.39 / $8,413.43	Professional		$6,888.39	$6,888.39	$8,413.43
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,791.90 / $1,791.90 / $2,413.42	Professional	26	$1,791.90	$1,791.90	$2,413.42
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,096.49 / $5,096.49 / $5,999.93	Professional	TC	$5,096.49	$5,096.49	$5,999.93
United Facility/Professional Professional Modifier Low / Median / High Price $990.14 / $1,418.76 / $2,415.73	Professional		$990.14	$1,418.76	$2,415.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $283.50 / $434.36 / $691.68	Professional	26	$283.50	$434.36	$691.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $706.64 / $980.65 / $1,700.40	Professional	TC	$706.64	$980.65	$1,700.40