Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $98.00 / $397.64	Facility	26	$55.00	$98.00	$397.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $325.00 / $661.59	Professional		$275.00	$325.00	$661.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $70.56 / $136.19	Professional	26	$55.00	$70.56	$136.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.00 / $227.00 / $549.13	Professional	TC	$220.00	$227.00	$549.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.07 / $67.30 / $134.91	Professional	26	$54.07	$67.30	$134.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $385.60 / $868.83	Professional		$125.20	$385.60	$868.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.70 / $111.15 / $176.74	Professional	26	$73.70	$111.15	$176.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $328.10 / $494.02 / $773.37	Professional	TC	$328.10	$494.02	$773.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.88 / $578.84 / $1,046.56	Professional		$312.88	$578.84	$1,046.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.38 / $116.25 / $188.99	Professional	26	$64.38	$116.25	$188.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.50 / $470.40 / $848.53	Professional	TC	$248.50	$470.40	$848.53
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $173.90 / $356.06 / $356.06	Facility	26	$173.90	$356.06	$356.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,692.02 / $2,692.02 / $3,274.95	Professional		$2,692.02	$2,692.02	$3,274.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $462.06 / $462.06 / $581.78	Professional	26	$462.06	$462.06	$581.78
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,230.02 / $2,230.02 / $2,693.18	Professional	TC	$2,230.02	$2,230.02	$2,693.18
United Facility/Professional Professional Modifier Low / Median / High Price $382.62 / $500.98 / $1,019.30	Professional		$382.62	$500.98	$1,019.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.68 / $91.59 / $196.02	Professional	26	$75.68	$91.59	$196.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $294.97 / $419.35 / $823.28	Professional	TC	$294.97	$419.35	$823.28