Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.85 / $207.72 / $229.58	Facility	26	$102.85	$207.72	$229.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.86 / $271.07 / $514.25	Professional		$185.86	$271.07	$514.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.54 / $78.05 / $150.47	Professional	26	$71.54	$78.05	$150.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.31 / $175.04 / $411.40	Professional	TC	$114.31	$175.04	$411.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $108.17 / $194.90	Professional		$82.08	$108.17	$194.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $46.00 / $76.09	Professional	26	$35.54	$46.00	$76.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $165.45 / $279.02	Professional		$69.34	$165.45	$279.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.78 / $59.79 / $102.60	Professional	26	$38.78	$59.79	$102.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.14 / $112.22 / $186.67	Professional	TC	$64.14	$112.22	$186.67
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $331.68 / $417.52 / $420.16	Facility	26	$331.68	$417.52	$420.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $968.53 / $997.59 / $997.80	Professional		$968.53	$997.59	$997.80
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $279.39 / $279.39 / $368.63	Professional	26	$279.39	$279.39	$368.63
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $774.95 / $798.20 / $798.20	Professional	TC	$774.95	$798.20	$798.20
United Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $174.50 / $280.69	Professional		$114.28	$174.50	$280.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.23 / $48.66 / $96.40	Professional	26	$41.23	$48.66	$96.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.09 / $110.84 / $175.30	Professional	TC	$70.09	$110.84	$175.30