Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $295.12 / $549.54	Facility	26	$295.12	$295.12	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,995.26	Professional		$977.24	$1,174.90	$1,995.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $407.38 / $851.14	Professional	26	$263.03	$407.38	$851.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $691.83 / $851.14 / $1,412.54	Professional	TC	$691.83	$851.14	$1,412.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $245.47 / $346.74 / $512.86	Professional	26	$245.47	$346.74	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $4,073.80 / $11,748.98	Professional		$1,230.27	$4,073.80	$11,748.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $331.13 / $436.52 / $676.08	Professional	26	$331.13	$436.52	$676.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $812.83 / $1,096.48 / $1,584.89	Professional	TC	$812.83	$1,096.48	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,290.87	Professional		$1,230.27	$1,548.82	$2,290.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $457.09 / $691.83	Professional	26	$354.81	$457.09	$691.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $851.14 / $1,096.48 / $1,621.81	Professional	TC	$851.14	$1,096.48	$1,621.81
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility	26	$2,570.40	$2,570.40	$2,570.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $8,317.64 / $8,317.64	Professional		$6,918.31	$8,317.64	$8,317.64
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,778.28 / $2,398.83 / $2,398.83	Professional	26	$1,778.28	$2,398.83	$2,398.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $5,128.61 / $6,025.60 / $6,025.60	Professional	TC	$5,128.61	$6,025.60	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,290.87	Professional		$1,000.00	$1,412.54	$2,290.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $426.58 / $691.83	Professional	26	$281.84	$426.58	$691.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $707.95 / $1,000.00 / $1,621.81	Professional	TC	$707.95	$1,000.00	$1,621.81