Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.31 / $78.31 / $304.82	Facility	26	$48.31	$78.31	$304.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.29 / $161.27 / $267.95	Professional		$143.29	$161.27	$267.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.31 / $51.54 / $86.02	Professional	26	$48.31	$51.54	$86.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.98 / $107.74 / $177.61	Professional	TC	$94.98	$107.74	$177.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.29 / $41.29 / $64.51	Professional	26	$41.29	$41.29	$64.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $218.71 / $348.59	Professional		$104.47	$218.71	$348.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.96 / $85.43 / $136.58	Professional	26	$56.96	$85.43	$136.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.36 / $160.53 / $259.83	Professional	TC	$108.36	$160.53	$259.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $257.52 / $423.11	Professional		$144.78	$257.52	$423.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.35 / $89.23 / $139.63	Professional	26	$49.35	$89.23	$139.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.33 / $170.39 / $278.52	Professional	TC	$96.33	$170.39	$278.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $132.57 / $272.41 / $272.41	Facility	26	$132.57	$272.41	$272.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,809.00 / $1,809.00 / $1,809.00	Professional		$1,809.00	$1,809.00	$1,809.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $543.00 / $543.00 / $543.00	Professional	26	$543.00	$543.00	$543.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,266.00 / $1,266.00 / $1,266.00	Professional	TC	$1,266.00	$1,266.00	$1,266.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $226.22 / $452.47	Professional		$169.83	$226.22	$452.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.81 / $78.72 / $149.75	Professional	26	$57.81	$78.72	$149.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.78 / $162.47 / $302.72	Professional	TC	$113.78	$162.47	$302.72