Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.00 / $50.21 / $302.93	Facility	26	$48.00	$50.21	$302.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.25 / $302.83 / $385.16	Professional		$283.25	$302.83	$385.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.01 / $50.21 / $83.98	Professional	26	$48.01	$50.21	$83.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $235.25 / $254.64 / $341.95	Professional	TC	$235.25	$254.64	$341.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.03 / $51.08 / $64.11	Professional	26	$41.03	$51.08	$64.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.37 / $424.42 / $689.09	Professional		$257.37	$424.42	$689.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.29 / $83.00 / $134.97	Professional	26	$56.29	$83.00	$134.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $277.39 / $416.01 / $662.48	Professional	TC	$277.39	$416.01	$662.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $517.54 / $815.13	Professional		$285.95	$517.54	$815.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.04 / $87.31 / $138.76	Professional	26	$49.04	$87.31	$138.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.91 / $430.95 / $678.83	Professional	TC	$236.91	$430.95	$678.83
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $131.71 / $270.80 / $270.80	Facility	26	$131.71	$270.80	$270.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,141.04 / $2,141.04 / $2,645.93	Professional		$2,141.04	$2,141.04	$2,645.93
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $351.55 / $351.55 / $443.25	Professional	26	$351.55	$351.55	$443.25
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,789.49 / $1,789.49 / $2,202.67	Professional	TC	$1,789.49	$1,789.49	$2,202.67
United Facility/Professional Professional Modifier Low / Median / High Price $339.66 / $414.83 / $835.43	Professional		$339.66	$414.83	$835.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.72 / $69.00 / $149.29	Professional	26	$55.72	$69.00	$149.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $280.89 / $384.01 / $691.26	Professional	TC	$280.89	$384.01	$691.26