Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.89 / $42.89 / $269.17	Facility	26	$42.89	$42.89	$269.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.63 / $328.49 / $530.62	Professional		$310.63	$328.49	$530.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.89 / $45.85 / $76.72	Professional	26	$42.89	$45.85	$76.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $267.74 / $283.13 / $455.24	Professional	TC	$267.74	$283.13	$455.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.88 / $36.88 / $91.94	Professional	26	$36.88	$36.88	$91.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.53 / $414.29 / $676.67	Professional		$250.53	$414.29	$676.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.56 / $77.39 / $119.01	Professional	26	$50.56	$77.39	$119.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $304.83 / $446.38 / $732.45	Professional	TC	$304.83	$446.38	$732.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.05 / $494.57 / $848.90	Professional		$282.05	$494.57	$848.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.58 / $78.89 / $123.98	Professional	26	$43.58	$78.89	$123.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $243.97 / $409.50 / $719.07	Professional	TC	$243.97	$409.50	$719.07
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $118.60 / $242.96 / $242.96	Facility	26	$118.60	$242.96	$242.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,348.14 / $2,348.14 / $2,851.13	Professional		$2,348.14	$2,348.14	$2,851.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $379.76 / $379.76 / $396.68	Professional	26	$379.76	$379.76	$396.68
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,034.68 / $2,034.68 / $2,454.38	Professional	TC	$2,034.68	$2,034.68	$2,454.38
United Facility/Professional Professional Modifier Low / Median / High Price $317.45 / $439.03 / $987.15	Professional		$317.45	$439.03	$987.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.48 / $61.91 / $134.18	Professional	26	$51.48	$61.91	$134.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.48 / $373.25 / $754.25	Professional	TC	$263.48	$373.25	$754.25