Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.31 / $83.00 / $199.78	Facility	26	$75.31	$83.00	$199.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $151.37 / $328.71	Professional		$126.24	$151.37	$328.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $83.00 / $175.16	Professional	26	$72.04	$83.00	$175.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.95 / $63.03 / $95.34	Professional	TC	$53.95	$63.03	$95.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.06 / $131.36 / $230.33	Professional		$111.06	$131.36	$230.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $68.67 / $131.46 / $140.87	Professional	26	$68.67	$131.46	$140.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $180.46 / $277.22	Professional		$127.12	$180.46	$277.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.47 / $103.05 / $158.07	Professional	26	$74.47	$103.05	$158.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.20 / $78.39 / $119.60	Professional	TC	$57.20	$78.39	$119.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $181.73 / $329.96	Professional		$131.80	$181.73	$329.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.84 / $104.12 / $185.54	Professional	26	$77.84	$104.12	$185.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.12 / $78.37 / $140.54	Professional	TC	$53.12	$78.37	$140.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $180.18 / $386.70 / $386.70	Facility	26	$180.18	$386.70	$386.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $874.03 / $874.03 / $1,093.34	Professional		$874.03	$874.03	$1,093.34
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $497.06 / $497.06 / $625.42	Professional	26	$497.06	$497.06	$625.42
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $376.97 / $376.97 / $467.93	Professional	TC	$376.97	$376.97	$467.93
United Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $166.64 / $301.75	Professional		$129.63	$166.64	$301.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.73 / $97.26 / $174.46	Professional	26	$73.73	$97.26	$174.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.27 / $73.47 / $128.55	Professional	TC	$55.27	$73.47	$128.55