Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.05 / $281.10 / $822.73	Facility		$129.05	$281.10	$822.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.90 / $27.77 / $67.05	Facility	26	$21.90	$27.77	$67.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $134.66 / $333.16	Professional		$107.78	$134.66	$333.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $24.14 / $72.66	Professional	26	$18.44	$24.14	$72.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.20 / $109.21 / $189.87	Professional	TC	$95.20	$109.21	$189.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $105.11 / $237.74	Professional		$95.46	$105.11	$237.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.52 / $23.95 / $51.88	Professional	26	$16.52	$23.95	$51.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $196.41 / $286.08	Professional		$123.53	$196.41	$286.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $27.66 / $45.37	Professional	26	$20.30	$27.66	$45.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.17 / $169.02 / $249.12	Professional	TC	$105.17	$169.02	$249.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.30 / $339.94 / $451.84	Facility		$147.30	$339.94	$451.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.35 / $26.35 / $26.35	Facility	26	$26.35	$26.35	$26.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.32 / $184.37 / $309.83	Professional		$131.32	$184.37	$309.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.43 / $28.67 / $50.75	Professional	26	$21.43	$28.67	$50.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.17 / $162.44 / $274.00	Professional	TC	$112.17	$162.44	$274.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $264.44 / $709.37 / $709.37	Facility		$264.44	$709.37	$709.37
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $52.93 / $161.00 / $161.00	Facility	26	$52.93	$161.00	$161.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.23 / $1,223.39 / $1,256.91	Professional		$1,116.23	$1,223.39	$1,256.91
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $237.75 / $237.75 / $237.75	Professional	26	$237.75	$237.75	$237.75
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $934.20 / $1,114.63 / $1,145.18	Professional	TC	$934.20	$1,114.63	$1,145.18
United Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $183.71 / $302.13	Professional		$133.44	$183.71	$302.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.64 / $26.48 / $49.48	Professional	26	$20.64	$26.48	$49.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.64 / $154.76 / $260.76	Professional	TC	$114.64	$154.76	$260.76