Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.48 / $357.77 / $468.70	Professional		$226.48	$357.77	$468.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.84 / $179.87 / $307.42	Professional	26	$118.84	$179.87	$307.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.64 / $170.04 / $204.02	Professional	TC	$107.64	$170.04	$204.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.55 / $80.55 / $80.55	Professional	26	$80.55	$80.55	$80.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.82 / $83.82 / $83.82	Professional	TC	$83.82	$83.82	$83.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.89 / $734.35 / $987.64	Professional		$306.89	$734.35	$987.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $152.56 / $245.29 / $342.84	Professional	26	$152.56	$245.29	$342.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.86 / $465.49 / $709.34	Professional	TC	$145.86	$465.49	$709.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.86 / $332.13 / $845.83	Facility		$310.86	$332.13	$845.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.37 / $90.14 / $197.83	Facility	26	$84.37	$90.14	$197.83
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $215.75 / $226.47 / $444.32	Facility	TC	$215.75	$226.47	$444.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $460.22	Professional		$326.16	$326.16	$460.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $157.41	Professional	26	$153.56	$153.56	$157.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $210.77	Professional	TC	$172.60	$172.60	$210.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $695.19 / $1,033.29 / $2,185.65	Facility		$695.19	$1,033.29	$2,185.65
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $304.24 / $332.37 / $858.66	Facility	26	$304.24	$332.37	$858.66
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $414.58 / $732.04 / $1,452.72	Facility	TC	$414.58	$732.04	$1,452.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,718.36 / $5,718.36 / $5,718.36	Professional		$5,718.36	$5,718.36	$5,718.36
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,098.38 / $1,098.38 / $1,377.38	Professional	26	$1,098.38	$1,098.38	$1,377.38
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,767.92 / $2,229.25 / $2,229.25	Professional	TC	$1,767.92	$2,229.25	$2,229.25
United Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $367.02 / $1,038.82	Professional		$194.51	$367.02	$1,038.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.67 / $152.27 / $322.39	Professional	26	$103.67	$152.27	$322.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.15 / $263.33 / $729.12	Professional	TC	$87.15	$263.33	$729.12