Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.94 / $360.09 / $1,064.36	Facility		$155.94	$360.09	$1,064.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.19 / $53.85 / $103.97	Facility	26	$39.19	$53.85	$103.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $199.17 / $318.45	Professional		$149.21	$199.17	$318.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.86 / $52.53 / $140.00	Professional	26	$38.86	$52.53	$140.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $112.20 / $112.20 / $112.20	Professional	52	$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.32 / $134.55 / $195.62	Professional	TC	$109.32	$134.55	$195.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $113.87 / $231.05	Professional		$96.79	$113.87	$231.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.85 / $45.38 / $67.95	Professional	26	$35.85	$45.38	$67.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.60 / $228.24 / $324.62	Professional		$149.60	$228.24	$324.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.45 / $64.92 / $95.30	Professional	26	$40.45	$64.92	$95.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $110.86 / $162.05 / $238.24	Professional	TC	$110.86	$162.05	$238.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.58 / $933.59 / $1,590.00	Facility		$138.58	$933.59	$1,590.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $226.74 / $381.68	Professional		$130.25	$226.74	$381.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.56 / $65.84 / $108.07	Professional	26	$39.56	$65.84	$108.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $164.80 / $277.44	Professional	TC	$91.20	$164.80	$277.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $260.18 / $682.58 / $2,210.79	Facility		$260.18	$682.58	$2,210.79
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $91.76 / $174.10 / $188.81	Facility	26	$91.76	$174.10	$188.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.12 / $1,027.63 / $2,210.79	Professional		$1,023.12	$1,027.63	$2,210.79
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $261.30 / $269.14 / $308.02	Professional	26	$261.30	$269.14	$308.02
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $767.60 / $767.60 / $2,112.67	Professional	TC	$767.60	$767.60	$2,112.67
United Facility/Professional Professional Modifier Low / Median / High Price $152.01 / $207.56 / $337.03	Professional		$152.01	$207.56	$337.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.33 / $61.67 / $95.67	Professional	26	$38.33	$61.67	$95.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.16 / $157.88 / $249.97	Professional	TC	$113.16	$157.88	$249.97