Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.34 / $520.37 / $1,464.21	Facility		$187.34	$520.37	$1,464.21
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $39.72 / $110.37	Facility	26	$36.04	$39.72	$110.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.96 / $200.33 / $397.20	Professional		$166.96	$200.33	$397.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $38.39 / $73.58	Professional	26	$30.82	$38.39	$73.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.47 / $160.06 / $272.75	Professional	TC	$131.47	$160.06	$272.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $169.73 / $316.75	Professional		$106.70	$169.73	$316.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.61 / $61.03 / $68.06	Professional	26	$30.61	$61.03	$68.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $254.28 / $368.60	Professional		$155.41	$254.28	$368.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.76 / $45.35 / $73.27	Professional	26	$32.76	$45.35	$73.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.30 / $206.71 / $318.44	Professional	TC	$124.30	$206.71	$318.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.95 / $404.17 / $533.37	Facility		$267.95	$404.17	$533.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.31 / $43.31 / $43.31	Facility	26	$43.31	$43.31	$43.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $234.17 / $391.28	Professional		$168.29	$234.17	$391.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.90 / $45.50 / $82.02	Professional	26	$34.90	$45.50	$82.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $132.29 / $191.29 / $336.32	Professional	TC	$132.29	$191.29	$336.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $357.23 / $956.70 / $956.70	Facility		$357.23	$956.70	$956.70
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $87.37 / $181.17 / $181.17	Facility	26	$87.37	$181.17	$181.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.71 / $1,499.71 / $1,520.10	Professional		$1,459.71	$1,499.71	$1,520.10
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $361.59 / $361.59 / $361.59	Professional	26	$361.59	$361.59	$361.59
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,202.93 / $1,274.61 / $1,309.54	Professional	TC	$1,202.93	$1,274.61	$1,309.54
United Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $229.75 / $383.59	Professional		$172.80	$229.75	$383.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.27 / $43.64 / $79.94	Professional	26	$32.27	$43.64	$79.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.41 / $189.41 / $307.48	Professional	TC	$136.41	$189.41	$307.48