Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $37.97 / $229.79	Facility	26	$36.31	$37.97	$229.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.79 / $407.18 / $633.83	Professional		$352.79	$407.18	$633.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $37.74 / $69.90	Professional	26	$36.31	$37.74	$69.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $316.48 / $366.73 / $567.74	Professional	TC	$316.48	$366.73	$567.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.04 / $38.65 / $78.16	Professional	26	$31.04	$38.65	$78.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.84 / $550.37 / $858.26	Professional		$354.84	$550.37	$858.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.71 / $64.22 / $102.26	Professional	26	$42.71	$64.22	$102.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $374.75 / $552.79 / $896.69	Professional	TC	$374.75	$552.79	$896.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.80 / $647.49 / $1,039.16	Professional		$356.80	$647.49	$1,039.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.21 / $66.23 / $104.96	Professional	26	$37.21	$66.23	$104.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $319.58 / $581.25 / $925.50	Professional	TC	$319.58	$581.25	$925.50
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $99.49 / $205.20 / $205.20	Facility	26	$99.49	$205.20	$205.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,679.53 / $2,679.53 / $3,293.78	Professional		$2,679.53	$2,679.53	$3,293.78
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $266.22 / $266.22 / $336.30	Professional	26	$266.22	$266.22	$336.30
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,413.31 / $2,413.31 / $2,957.48	Professional	TC	$2,413.31	$2,413.31	$2,957.48
United Facility/Professional Professional Modifier Low / Median / High Price $425.25 / $513.36 / $1,037.54	Professional		$425.25	$513.36	$1,037.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.62 / $56.40 / $112.35	Professional	26	$42.62	$56.40	$112.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $382.63 / $441.84 / $902.41	Professional	TC	$382.63	$441.84	$902.41