Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.89 / $44.00 / $199.50	Facility	26	$31.89	$44.00	$199.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.82 / $282.76 / $475.77	Professional		$253.82	$282.76	$475.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.89 / $35.04 / $68.31	Professional	26	$31.89	$35.04	$68.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.40 / $247.61 / $418.40	Professional	TC	$223.40	$247.61	$418.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.27 / $42.60 / $69.37	Professional	26	$27.27	$42.60	$69.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.68 / $364.01 / $643.82	Professional		$227.68	$364.01	$643.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.39 / $55.13 / $88.49	Professional	26	$37.39	$55.13	$88.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.14 / $382.06 / $649.73	Professional	TC	$263.14	$382.06	$649.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.02 / $435.94 / $707.26	Professional		$231.02	$435.94	$707.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.29 / $57.13 / $92.18	Professional	26	$32.29	$57.13	$92.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.46 / $381.43 / $621.79	Professional	TC	$201.46	$381.43	$621.79
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $87.37 / $180.26 / $180.26	Facility	26	$87.37	$180.26	$180.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,023.55 / $2,023.55 / $2,503.19	Professional		$2,023.55	$2,023.55	$2,503.19
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $267.48 / $267.48 / $296.55	Professional	26	$267.48	$267.48	$296.55
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,789.49 / $1,789.49 / $2,206.65	Professional	TC	$1,789.49	$1,789.49	$2,206.65
United Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $367.62 / $711.82	Professional		$210.75	$367.62	$711.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.22 / $45.76 / $98.60	Professional	26	$37.22	$45.76	$98.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $232.31 / $325.14 / $633.91	Professional	TC	$232.31	$325.14	$633.91