Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $891.25 / $1,819.70	Facility		$794.33	$891.25	$1,819.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $36.31 / $46.77	Facility	26	$16.98	$36.31	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $177.83	Professional		$60.26	$74.13	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $18.20 / $33.11	Professional	26	$15.85	$18.20	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $52.48 / $128.82	Professional	TC	$42.66	$52.48	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $69.18	Professional		$52.48	$63.10	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $141.25	Professional		$69.18	$102.33	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $40.74	Professional	26	$19.05	$26.92	$40.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $72.44 / $109.65	Professional	TC	$48.98	$72.44	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $323.59 / $426.58	Facility		$125.89	$323.59	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $194.98	Professional		$61.66	$107.15	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.44 / $39.81	Professional	26	$18.20	$23.44	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $81.28 / $158.49	Professional	TC	$43.65	$81.28	$158.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $134.90 / $134.90	Facility	26	$114.82	$134.90	$134.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $812.83	Professional		$616.60	$616.60	$812.83
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	26	$416.87	$416.87	$416.87
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $575.44 / $575.44 / $575.44	Professional	TC	$575.44	$575.44	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $190.55	Professional		$61.66	$102.33	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $21.88 / $36.31	Professional	26	$16.60	$21.88	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $75.86 / $158.49	Professional	TC	$43.65	$75.86	$158.49