Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.54 / $46.88 / $130.22	Facility	26	$42.54	$46.88	$130.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $151.40 / $440.33	Professional		$92.29	$151.40	$440.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.16 / $58.17 / $150.00	Professional	26	$42.16	$58.17	$150.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.30 / $60.74 / $103.75	Professional	52	$45.30	$60.74	$103.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.69 / $85.14 / $138.75	Professional	TC	$48.69	$85.14	$138.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $83.69 / $120.81	Professional		$83.69	$83.69	$120.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $61.31 / $107.19	Professional	26	$40.17	$61.31	$107.19
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $20.92 / $20.92 / $21.51	Professional	52	$20.92	$20.92	$21.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $106.66 / $106.66 / $106.66	Professional	TC	$106.66	$106.66	$106.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $184.10 / $294.83	Professional		$96.05	$184.10	$294.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.54 / $75.28 / $113.65	Professional	26	$43.54	$75.28	$113.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.79 / $107.87 / $182.30	Professional	TC	$51.79	$107.87	$182.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.94 / $183.58 / $293.97	Professional		$94.94	$183.58	$293.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.34 / $73.19 / $129.16	Professional	26	$44.34	$73.19	$129.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.60 / $110.42 / $178.58	Professional	TC	$50.60	$110.42	$178.58
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $102.90 / $333.99 / $333.99	Facility	26	$102.90	$333.99	$333.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $870.13 / $870.13 / $870.13	Professional	26	$870.13	$870.13	$870.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $870.13 / $870.13 / $870.13	Professional	TC	$870.13	$870.13	$870.13
United Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $185.44 / $271.49	Professional		$107.19	$185.44	$271.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.57 / $68.90 / $110.39	Professional	26	$41.57	$68.90	$110.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.26 / $110.12 / $177.13	Professional	TC	$65.26	$110.12	$177.13