Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.60 / $138.41 / $333.18	Facility	26	$125.60	$138.41	$333.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $240.88 / $557.63	Professional		$203.03	$240.88	$557.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.34 / $138.41 / $256.33	Professional	26	$120.34	$138.41	$256.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.01 / $92.39 / $137.05	Professional	TC	$79.01	$92.39	$137.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.58 / $221.90 / $374.33	Professional		$174.58	$221.90	$374.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $137.26 / $194.30 / $234.54	Professional	26	$137.26	$194.30	$234.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.47 / $283.48 / $439.91	Professional		$192.47	$283.48	$439.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $124.19 / $171.57 / $266.92	Professional	26	$124.19	$171.57	$266.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.74 / $117.67 / $177.95	Professional	TC	$83.74	$117.67	$177.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.17 / $288.69 / $519.91	Professional		$207.17	$288.69	$519.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $130.02 / $173.53 / $308.88	Professional	26	$130.02	$173.53	$308.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.23 / $115.48 / $206.96	Professional	TC	$77.23	$115.48	$206.96
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $299.41 / $642.01 / $642.01	Facility	26	$299.41	$642.01	$642.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.92 / $1,374.92 / $1,714.13	Professional		$1,374.92	$1,374.92	$1,714.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $824.31 / $824.31 / $1,042.50	Professional	26	$824.31	$824.31	$1,042.50
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $550.61 / $550.61 / $671.63	Professional	TC	$550.61	$550.61	$671.63
United Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $272.49 / $472.70	Professional		$206.88	$272.49	$472.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.75 / $164.21 / $304.64	Professional	26	$123.75	$164.21	$304.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.69 / $111.83 / $196.93	Professional	TC	$82.69	$111.83	$196.93