Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.77 / $84.30 / $161.55	Facility	26	$52.77	$84.30	$161.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.19 / $288.76 / $774.12	Professional		$246.19	$288.76	$774.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.80 / $83.34 / $290.56	Professional	26	$51.80	$83.34	$290.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $206.18 / $357.62	Professional	TC	$162.34	$206.18	$357.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.37 / $276.50 / $468.40	Professional		$176.37	$276.50	$468.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.95 / $59.93 / $100.06	Professional	26	$39.95	$59.93	$100.06
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $370.93 / $370.93 / $370.93	Professional	TC	$370.93	$370.93	$370.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.10 / $390.16 / $585.30	Professional		$230.10	$390.16	$585.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.90 / $85.85 / $134.58	Professional	26	$49.90	$85.85	$134.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $187.21 / $299.89 / $454.64	Professional	TC	$187.21	$299.89	$454.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.58 / $62.58 / $62.58	Facility	26	$62.58	$62.58	$62.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.80 / $361.11 / $613.58	Professional		$257.80	$361.11	$613.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.61 / $88.02 / $151.59	Professional	26	$54.61	$88.02	$151.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.12 / $282.41 / $485.22	Professional	TC	$197.12	$282.41	$485.22
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $127.27 / $377.88 / $377.88	Facility	26	$127.27	$377.88	$377.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,195.03 / $2,362.07 / $2,426.79	Professional		$2,195.03	$2,362.07	$2,426.79
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $480.20 / $507.12 / $521.02	Professional	26	$480.20	$507.12	$521.02
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,755.75 / $1,854.93 / $1,905.76	Professional	TC	$1,755.75	$1,854.93	$1,905.76
United Facility/Professional Professional Modifier Low / Median / High Price $256.11 / $358.98 / $639.95	Professional		$256.11	$358.98	$639.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.71 / $85.02 / $136.91	Professional	26	$54.71	$85.02	$136.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.29 / $268.50 / $447.54	Professional	TC	$200.29	$268.50	$447.54