Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.03 / $41.04 / $257.62	Facility	26	$41.03	$41.04	$257.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $293.88 / $519.69	Professional		$267.32	$293.88	$519.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.04 / $43.47 / $73.18	Professional	26	$41.04	$43.47	$73.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $225.98 / $250.48 / $442.95	Professional	TC	$225.98	$250.48	$442.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.07 / $43.63 / $88.58	Professional	26	$35.07	$43.63	$88.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.36 / $405.28 / $676.10	Professional		$273.36	$405.28	$676.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.20 / $72.56 / $113.87	Professional	26	$48.20	$72.56	$113.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $274.55 / $398.06 / $657.26	Professional	TC	$274.55	$398.06	$657.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.94 / $457.16 / $772.78	Professional		$261.94	$457.16	$772.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.71 / $74.77 / $117.84	Professional	26	$41.71	$74.77	$117.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.48 / $387.44 / $654.94	Professional	TC	$224.48	$387.44	$654.94
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $112.48 / $231.75 / $231.75	Facility	26	$112.48	$231.75	$231.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.12 / $2,116.12 / $2,616.38	Professional		$2,116.12	$2,116.12	$2,616.38
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $350.03 / $350.03 / $378.60	Professional	26	$350.03	$350.03	$378.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,817.68 / $1,817.68 / $2,237.78	Professional	TC	$1,817.68	$1,817.68	$2,237.78
United Facility/Professional Professional Modifier Low / Median / High Price $227.30 / $387.84 / $809.65	Professional		$227.30	$387.84	$809.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.78 / $59.26 / $127.58	Professional	26	$48.78	$59.26	$127.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $273.82 / $374.04 / $682.07	Professional	TC	$273.82	$374.04	$682.07