Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.15 / $171.22 / $302.80	Facility	26	$114.15	$171.22	$302.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.67 / $720.28 / $1,139.53	Professional		$555.67	$720.28	$1,139.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.10 / $132.51 / $524.60	Professional	26	$111.10	$132.51	$524.60
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $273.83 / $309.93 / $494.79	Professional	52	$273.83	$309.93	$494.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $441.72 / $578.15 / $901.48	Professional	TC	$441.72	$578.15	$901.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.28 / $529.70 / $773.54	Professional		$512.28	$529.70	$773.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $107.38 / $145.88 / $214.13	Professional	26	$107.38	$145.88	$214.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.64 / $795.52 / $1,171.58	Professional		$549.64	$795.52	$1,171.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.87 / $164.57 / $242.57	Professional	26	$112.87	$164.57	$242.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $436.76 / $636.00 / $938.66	Professional	TC	$436.76	$636.00	$938.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $821.05 / $1,479.06	Professional		$600.00	$821.05	$1,479.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $121.76 / $176.32 / $299.00	Professional	26	$121.76	$176.32	$299.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $455.00 / $643.69 / $1,158.39	Professional	TC	$455.00	$643.69	$1,158.39
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $275.57 / $701.13 / $701.13	Facility	26	$275.57	$701.13	$701.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,200.00 / $6,200.00 / $6,200.00	Professional		$6,200.00	$6,200.00	$6,200.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2,600.00 / $2,600.00 / $2,600.00	Professional	26	$2,600.00	$2,600.00	$2,600.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $7,000.00 / $7,000.00 / $7,000.00	Professional	TC	$7,000.00	$7,000.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.99 / $760.89 / $1,282.96	Professional		$558.99	$760.89	$1,282.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.06 / $170.89 / $289.39	Professional	26	$112.06	$170.89	$289.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $443.90 / $592.22 / $1,029.40	Professional	TC	$443.90	$592.22	$1,029.40