Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.24 / $79.68 / $143.88	Facility	26	$54.24	$79.68	$143.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $425.02 / $856.63	Professional		$338.67	$425.02	$856.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $61.96 / $215.71	Professional	26	$51.32	$61.96	$215.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $368.11 / $664.27	Professional	TC	$287.33	$368.11	$664.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $351.36 / $394.74 / $731.93	Professional		$351.36	$394.74	$731.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.15 / $76.94 / $99.90	Professional	26	$49.15	$76.94	$99.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.90 / $512.66 / $840.51	Professional		$337.90	$512.66	$840.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.64 / $71.95 / $109.59	Professional	26	$53.64	$71.95	$109.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.93 / $444.47 / $736.09	Professional	TC	$280.93	$444.47	$736.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $485.85 / $999.56	Professional		$239.83	$485.85	$999.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.87 / $74.72 / $132.83	Professional	26	$55.87	$74.72	$132.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.61 / $425.06 / $868.82	Professional	TC	$171.61	$425.06	$868.82
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 $2,879.21 / $2,879.21 / $3,811.50	Professional		$2,879.21	$2,879.21	$3,811.50
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $356.25 / $356.25 / $447.83	Professional	26	$356.25	$356.25	$447.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,522.94 / $2,522.94 / $3,363.60	Professional	TC	$2,522.94	$2,522.94	$3,363.60
United Facility/Professional Professional Modifier Low / Median / High Price $244.78 / $469.24 / $926.58	Professional		$244.78	$469.24	$926.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.88 / $68.67 / $119.44	Professional	26	$52.88	$68.67	$119.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $221.45 / $418.64 / $755.03	Professional	TC	$221.45	$418.64	$755.03