Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.85 / $45.20 / $116.32	Facility	26	$43.85	$45.20	$116.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $258.36 / $389.72	Professional		$206.63	$258.36	$389.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.23 / $48.33 / $70.81	Professional	26	$42.23	$48.33	$70.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $215.11 / $322.42	Professional	TC	$162.49	$215.11	$322.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.54 / $80.70 / $81.70	Professional	26	$34.54	$80.70	$81.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.31 / $351.39 / $543.60	Professional		$228.31	$351.39	$543.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.70 / $58.78 / $90.84	Professional	26	$40.70	$58.78	$90.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.60 / $295.32 / $474.89	Professional	TC	$191.60	$295.32	$474.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.19 / $52.19 / $52.19	Facility	26	$52.19	$52.19	$52.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.62 / $332.79 / $572.77	Professional		$238.62	$332.79	$572.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.72 / $58.71 / $101.88	Professional	26	$44.72	$58.71	$101.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.00 / $280.42 / $493.83	Professional	TC	$197.00	$280.42	$493.83
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $104.57 / $221.73 / $221.73	Facility	26	$104.57	$221.73	$221.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,904.10 / $1,956.28 / $2,158.73	Professional		$1,904.10	$1,956.28	$2,158.73
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $467.26 / $588.72 / $588.72	Professional	26	$467.26	$588.72	$588.72
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,640.58 / $1,685.53 / $1,797.00	Professional	TC	$1,640.58	$1,685.53	$1,797.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.10 / $328.32 / $584.80	Professional		$250.10	$328.32	$584.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.85 / $57.81 / $101.15	Professional	26	$43.85	$57.81	$101.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.28 / $275.00 / $477.28	Professional	TC	$205.28	$275.00	$477.28