Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $306.89 / $459.90	Facility		$97.38	$306.89	$459.90
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.21 / $31.65 / $67.98	Facility	26	$22.21	$31.65	$67.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $122.77 / $209.68	Professional		$107.77	$122.77	$209.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $23.53 / $45.32	Professional	26	$20.50	$23.53	$45.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.20 / $102.26 / $161.71	Professional	TC	$86.20	$102.26	$161.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $80.86 / $112.23	Professional		$80.86	$80.86	$112.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $23.22 / $38.47	Professional	26	$16.89	$23.22	$38.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $164.72 / $253.57	Professional		$99.70	$164.72	$253.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $29.18 / $45.93	Professional	26	$20.32	$29.18	$45.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.76 / $134.44 / $204.85	Professional	TC	$79.76	$134.44	$204.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.05 / $262.25 / $356.81	Facility		$141.05	$262.25	$356.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $156.22 / $270.64	Professional		$110.85	$156.22	$270.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.08 / $29.23 / $51.15	Professional	26	$22.08	$29.23	$51.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.00 / $129.21 / $234.09	Professional	TC	$87.00	$129.21	$234.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $232.86 / $623.15 / $623.15	Facility		$232.86	$623.15	$623.15
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $53.90 / $111.06 / $111.06	Facility	26	$53.90	$111.06	$111.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $983.25 / $1,013.21 / $1,040.97	Professional		$983.25	$1,013.21	$1,040.97
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $217.94 / $217.94 / $217.94	Professional	26	$217.94	$217.94	$217.94
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $794.40 / $889.85 / $914.23	Professional	TC	$794.40	$889.85	$914.23
United Facility/Professional Facility Modifier Low / Median / High Price $180.78 / $180.78 / $180.78	Facility		$180.78	$180.78	$180.78
United Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $148.22 / $246.19	Professional		$111.09	$148.22	$246.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.20 / $27.56 / $49.86	Professional	26	$21.20	$27.56	$49.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.43 / $126.80 / $207.16	Professional	TC	$86.43	$126.80	$207.16