Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.20 / $47.60 / $114.60	Facility	26	$43.20	$47.60	$114.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $348.04 / $638.79	Professional		$292.89	$348.04	$638.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $152.80 / $177.47 / $244.23	Professional	52	$152.80	$177.47	$244.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.77 / $303.33 / $569.08	Professional	TC	$252.77	$303.33	$569.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $361.99 / $361.99 / $361.99	Professional		$361.99	$361.99	$361.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.24 / $417.84 / $662.01	Professional		$305.24	$417.84	$662.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $268.66 / $356.66 / $573.96	Professional	TC	$268.66	$356.66	$573.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.88 / $443.56 / $795.67	Professional		$319.88	$443.56	$795.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $272.88 / $381.76 / $691.55	Professional	TC	$272.88	$381.76	$691.55
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $102.98 / $220.83 / $220.83	Facility	26	$102.98	$220.83	$220.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,332.00 / $2,332.00 / $3,148.13	Professional		$2,332.00	$2,332.00	$3,148.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,048.28 / $2,048.28 / $2,788.20	Professional	TC	$2,048.28	$2,048.28	$2,788.20
United Facility/Professional Professional Modifier Low / Median / High Price $301.81 / $390.26 / $703.46	Professional		$301.81	$390.26	$703.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.01 / $337.00 / $604.54	Professional	TC	$259.01	$337.00	$604.54