Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.94 / $79.68 / $143.08	Facility	26	$53.94	$79.68	$143.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $375.49 / $713.20	Professional		$302.81	$375.49	$713.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $60.69 / $139.58	Professional	26	$51.32	$60.69	$139.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $310.39 / $556.65	Professional	TC	$251.27	$310.39	$556.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $325.19 / $349.18 / $624.53	Professional		$325.19	$349.18	$624.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.53 / $69.16 / $96.62	Professional	26	$48.53	$69.16	$96.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $273.44 / $273.44 / $273.44	Professional	TC	$273.44	$273.44	$273.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.43 / $443.28 / $714.55	Professional		$301.43	$443.28	$714.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.81 / $73.36 / $113.69	Professional	26	$53.81	$73.36	$113.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $237.89 / $373.12 / $604.45	Professional	TC	$237.89	$373.12	$604.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.50 / $424.26 / $834.26	Professional		$245.50	$424.26	$834.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.87 / $74.30 / $132.83	Professional	26	$55.87	$74.30	$132.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $174.74 / $356.36 / $704.26	Professional	TC	$174.74	$356.36	$704.26
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $276.20 / $276.20	Facility	26	$128.97	$276.20	$276.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,452.27 / $2,452.27 / $3,270.00	Professional		$2,452.27	$2,452.27	$3,270.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $354.09 / $354.09 / $447.83	Professional	26	$354.09	$354.09	$447.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,098.17 / $2,098.17 / $2,822.18	Professional	TC	$2,098.17	$2,098.17	$2,822.18
United Facility/Professional Professional Modifier Low / Median / High Price $221.78 / $408.00 / $708.11	Professional		$221.78	$408.00	$708.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.07 / $69.92 / $131.16	Professional	26	$53.07	$69.92	$131.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $191.47 / $334.41 / $612.21	Professional	TC	$191.47	$334.41	$612.21