Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.71 / $58.71 / $103.24	Facility	26	$58.71	$58.71	$103.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.23 / $422.79 / $668.05	Professional		$395.23	$422.79	$668.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.71 / $62.08 / $103.07	Professional	26	$58.71	$62.08	$103.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $336.52 / $364.04 / $566.34	Professional	TC	$336.52	$364.04	$566.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.84 / $61.84 / $126.86	Professional	26	$61.84	$61.84	$126.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.62 / $581.26 / $954.09	Professional		$337.62	$581.26	$954.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.59 / $103.82 / $162.88	Professional	26	$68.59	$103.82	$162.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $380.97 / $583.11 / $920.58	Professional	TC	$380.97	$583.11	$920.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.56 / $723.81 / $1,062.88	Professional		$368.56	$723.81	$1,062.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.66 / $116.11 / $163.57	Professional	26	$58.66	$116.11	$163.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $311.95 / $618.86 / $899.80	Professional	TC	$311.95	$618.86	$899.80
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $160.18 / $326.42 / $326.42	Facility	26	$160.18	$326.42	$326.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,964.79 / $2,964.79 / $3,582.00	Professional		$2,964.79	$2,964.79	$3,582.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $426.62 / $426.62 / $532.35	Professional	26	$426.62	$426.62	$532.35
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,538.10 / $2,538.10 / $3,049.65	Professional	TC	$2,538.10	$2,538.10	$3,049.65
United Facility/Professional Professional Modifier Low / Median / High Price $459.48 / $551.38 / $1,134.11	Professional		$459.48	$551.38	$1,134.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.47 / $92.78 / $180.05	Professional	26	$68.47	$92.78	$180.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $385.61 / $547.12 / $934.05	Professional	TC	$385.61	$547.12	$934.05