Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $363.08	Facility	26	$194.98	$194.98	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $812.83	Professional		$263.03	$331.13	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $199.53 / $457.09	Professional	26	$169.82	$199.53	$457.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $114.82 / $177.83	Professional	TC	$93.33	$114.82	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $416.87	Professional		$257.04	$281.84	$416.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $229.09 / $323.59	Professional	26	$165.96	$229.09	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $346.74 / $602.56	Professional		$104.71	$346.74	$602.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $269.15 / $407.38	Professional	26	$199.53	$269.15	$407.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $151.36 / $229.09	Professional	TC	$112.20	$151.36	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $630.96	Professional		$281.84	$371.54	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $239.88 / $407.38	Professional	26	$181.97	$239.88	$407.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $138.04 / $229.09	Professional	TC	$97.72	$138.04	$229.09
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	26	$1,174.90	$1,174.90	$1,174.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,344.23	Professional		$1,862.09	$2,344.23	$2,344.23
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,174.90 / $1,479.11 / $1,479.11	Professional	26	$1,174.90	$1,479.11	$1,479.11
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $691.83 / $851.14 / $851.14	Professional	TC	$691.83	$851.14	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $588.84	Professional		$275.42	$363.08	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $229.09 / $380.19	Professional	26	$173.78	$229.09	$380.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $128.82 / $218.78	Professional	TC	$100.00	$128.82	$218.78