Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.82 / $44.80 / $271.48	Facility	26	$42.82	$44.80	$271.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.51 / $286.19 / $500.24	Professional		$267.51	$286.19	$500.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.83 / $44.68 / $76.28	Professional	26	$42.83	$44.68	$76.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $224.69 / $250.34 / $420.17	Professional	TC	$224.69	$250.34	$420.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.60 / $57.19 / $92.97	Professional	26	$36.60	$57.19	$92.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.07 / $391.90 / $650.79	Professional		$243.07	$391.90	$650.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.63 / $75.73 / $118.84	Professional	26	$50.63	$75.73	$118.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.62 / $397.33 / $623.44	Professional	TC	$265.62	$397.33	$623.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.17 / $484.44 / $773.39	Professional		$268.17	$484.44	$773.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.96 / $78.73 / $123.79	Professional	26	$43.96	$78.73	$123.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.21 / $405.69 / $646.16	Professional	TC	$224.21	$405.69	$646.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $241.59 / $241.59	Facility	26	$117.49	$241.59	$241.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,033.50 / $2,033.50 / $2,498.03	Professional		$2,033.50	$2,033.50	$2,498.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $313.45 / $313.45 / $394.35	Professional	26	$313.45	$313.45	$394.35
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,720.04 / $1,720.04 / $2,103.67	Professional	TC	$1,720.04	$1,720.04	$2,103.67
United Facility/Professional Professional Modifier Low / Median / High Price $311.41 / $373.69 / $776.65	Professional		$311.41	$373.69	$776.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.63 / $72.64 / $128.41	Professional	26	$50.63	$72.64	$128.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $265.70 / $362.49 / $662.63	Professional	TC	$265.70	$362.49	$662.63