Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $85.11 / $302.00	Facility	26	$47.86	$85.11	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $323.59	Professional		$120.23	$165.96	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $57.54 / $138.04	Professional	26	$42.66	$57.54	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $109.65 / $194.98	Professional	TC	$81.28	$109.65	$194.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $51.29 / $64.57	Professional	26	$41.69	$51.29	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $323.59	Professional		$104.71	$104.71	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $97.72 / $141.25	Professional	26	$70.79	$97.72	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $186.21 / $281.84	Professional	TC	$131.83	$186.21	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $416.87	Professional		$162.18	$257.04	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $89.13 / $128.82	Professional	26	$56.23	$89.13	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $169.82 / $275.42	Professional	TC	$104.71	$169.82	$275.42
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $537.03 / $537.03 / $537.03	Professional	26	$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional	TC	$1,258.93	$1,258.93	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $407.38	Professional		$165.96	$229.09	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $123.03	Professional	26	$56.23	$70.79	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $162.18 / $288.40	Professional	TC	$109.65	$162.18	$288.40