Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.22 / $165.55 / $398.48	Facility	26	$150.22	$165.55	$398.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.16 / $281.82 / $652.79	Professional		$232.16	$281.82	$652.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.25 / $165.65 / $306.57	Professional	26	$144.25	$165.65	$306.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.20 / $104.53 / $152.46	Professional	TC	$88.20	$104.53	$152.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.03 / $274.86 / $443.07	Professional		$214.03	$274.86	$443.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $136.81 / $190.59 / $278.35	Professional	26	$136.81	$190.59	$278.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.12 / $325.61 / $510.84	Professional		$232.12	$325.61	$510.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $148.54 / $204.57 / $314.24	Professional	26	$148.54	$204.57	$314.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.66 / $128.33 / $195.81	Professional	TC	$90.66	$128.33	$195.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.46 / $338.07 / $588.30	Professional		$241.46	$338.07	$588.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.28 / $208.07 / $367.72	Professional	26	$154.28	$208.07	$367.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.91 / $128.47 / $224.97	Professional	TC	$86.91	$128.47	$224.97
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $358.27 / $767.41 / $767.41	Facility	26	$358.27	$767.41	$767.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,600.14 / $1,600.14 / $1,997.93	Professional		$1,600.14	$1,600.14	$1,997.93
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $982.86 / $982.86 / $1,248.83	Professional	26	$982.86	$982.86	$1,248.83
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $617.27 / $617.27 / $749.18	Professional	TC	$617.27	$617.27	$749.18
United Facility/Professional Professional Modifier Low / Median / High Price $241.34 / $301.26 / $551.94	Professional		$241.34	$301.26	$551.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $147.47 / $200.16 / $345.89	Professional	26	$147.47	$200.16	$345.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.95 / $122.96 / $206.05	Professional	TC	$90.95	$122.96	$206.05