Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.28 / $69.09 / $248.38	Facility	26	$39.28	$69.09	$248.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.67 / $194.22 / $297.77	Professional		$183.67	$194.22	$297.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.28 / $41.09 / $63.68	Professional	26	$39.28	$41.09	$63.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.38 / $152.68 / $234.08	Professional	TC	$144.38	$152.68	$234.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.79 / $41.79 / $53.23	Professional	26	$41.79	$41.79	$53.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.06 / $285.63 / $446.81	Professional		$145.06	$285.63	$446.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.15 / $69.45 / $110.62	Professional	26	$46.15	$69.45	$110.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $167.69 / $257.60 / $402.11	Professional	TC	$167.69	$257.60	$402.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.94 / $336.79 / $541.60	Professional		$183.94	$336.79	$541.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.21 / $72.29 / $114.33	Professional	26	$40.21	$72.29	$114.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.72 / $264.50 / $424.40	Professional	TC	$143.72	$264.50	$424.40
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $107.73 / $221.68 / $221.68	Facility	26	$107.73	$221.68	$221.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,481.01 / $1,525.44 / $1,736.48	Professional		$1,481.01	$1,525.44	$1,736.48
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $501.94 / $501.94 / $501.94	Professional	26	$501.94	$501.94	$501.94
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,231.75 / $1,268.71 / $1,373.85	Professional	TC	$1,231.75	$1,268.71	$1,373.85
United Facility/Professional Professional Modifier Low / Median / High Price $223.19 / $256.74 / $600.54	Professional		$223.19	$256.74	$600.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.98 / $56.75 / $117.86	Professional	26	$45.98	$56.75	$117.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.24 / $233.09 / $433.47	Professional	TC	$172.24	$233.09	$433.47