Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $245.47 / $295.12	Facility	26	$102.33	$245.47	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $676.08	Professional		$323.59	$398.11	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $120.23 / $223.87	Professional	26	$100.00	$120.23	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $275.42 / $478.63	Professional	TC	$229.09	$275.42	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $812.83	Professional		$346.74	$467.74	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $154.88 / $257.04	Professional	26	$114.82	$154.88	$257.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $309.03 / $575.44	Professional	TC	$218.78	$309.03	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $691.83	Professional		$309.03	$436.52	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $147.91 / $229.09	Professional	26	$107.15	$147.91	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $302.00 / $436.52	Professional	TC	$204.17	$302.00	$436.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	26	$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $2,884.03	Professional		$2,454.71	$2,884.03	$2,884.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $758.58 / $851.14 / $851.14	Professional	26	$758.58	$851.14	$851.14
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,698.24 / $1,995.26 / $1,995.26	Professional	TC	$1,698.24	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $724.44	Professional		$295.12	$426.58	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $151.36 / $234.42	Professional	26	$100.00	$151.36	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $281.84 / $467.74	Professional	TC	$186.21	$281.84	$467.74