Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.79 / $324.51 / $407.03	Professional		$302.79	$324.51	$407.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.06 / $36.93 / $46.64	Professional	26	$35.06	$36.93	$46.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.83 / $287.57 / $364.48	Professional	TC	$266.83	$287.57	$364.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.67 / $177.67 / $177.67	Professional		$177.67	$177.67	$177.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.07 / $590.35 / $978.06	Professional		$384.07	$590.35	$978.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.63 / $68.20 / $93.36	Professional	26	$42.63	$68.20	$93.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $340.36 / $516.91 / $899.56	Professional	TC	$340.36	$516.91	$899.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.59 / $23.07 / $53.99	Facility	26	$21.59	$23.07	$53.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $294.52 / $764.51	Professional		$189.10	$294.52	$764.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.49 / $35.22 / $98.88	Professional	26	$22.49	$35.22	$98.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $166.39 / $254.57 / $674.35	Professional	TC	$166.39	$254.57	$674.35
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $112.57 / $140.86 / $233.75	Facility	26	$112.57	$140.86	$233.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,779.34 / $2,779.34 / $3,419.93	Professional		$2,779.34	$2,779.34	$3,419.93
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $306.82 / $306.82 / $376.73	Professional	26	$306.82	$306.82	$376.73
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,481.83 / $2,481.83 / $3,043.20	Professional	TC	$2,481.83	$2,481.83	$3,043.20
United Facility/Professional Professional Modifier Low / Median / High Price $244.38 / $382.94 / $856.83	Professional		$244.38	$382.94	$856.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.43 / $42.38 / $87.64	Professional	26	$28.43	$42.38	$87.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.93 / $338.69 / $699.76	Professional	TC	$214.93	$338.69	$699.76