Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.96 / $125.60 / $217.42	Facility	26	$81.96	$125.60	$217.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $423.51 / $755.46	Professional		$365.98	$423.51	$755.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.01 / $91.46 / $179.34	Professional	26	$80.01	$91.46	$179.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $327.10 / $617.02	Professional	TC	$284.67	$327.10	$617.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $347.63 / $389.52 / $584.28	Professional		$347.63	$389.52	$584.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.91 / $120.26 / $151.05	Professional	26	$83.91	$120.26	$151.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.71 / $509.78 / $799.97	Professional		$354.71	$509.78	$799.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.04 / $113.46 / $174.16	Professional	26	$81.04	$113.46	$174.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.39 / $392.95 / $632.45	Professional	TC	$265.39	$392.95	$632.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $481.10 / $943.85	Professional		$222.79	$481.10	$943.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.13 / $114.22 / $199.71	Professional	26	$85.13	$114.22	$199.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.65 / $397.55 / $746.33	Professional	TC	$227.65	$397.55	$746.33
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $194.95 / $417.76 / $417.76	Facility	26	$194.95	$417.76	$417.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,747.80 / $2,747.80 / $3,731.33	Professional		$2,747.80	$2,747.80	$3,731.33
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $677.18 / $774.69 / $774.69	Professional	26	$677.18	$774.69	$774.69
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,208.88 / $2,208.88 / $3,054.08	Professional	TC	$2,208.88	$2,208.88	$3,054.08
United Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $502.28 / $835.31	Professional		$319.80	$502.28	$835.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.88 / $106.94 / $188.98	Professional	26	$80.88	$106.94	$188.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.22 / $368.18 / $629.54	Professional	TC	$229.22	$368.18	$629.54