Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $83.59 / $107.29	Professional		$79.34	$83.59	$107.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.60 / $25.91 / $33.27	Professional	26	$24.60	$25.91	$33.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.75 / $58.04 / $74.90	Professional	TC	$54.75	$58.04	$74.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.08 / $15.08 / $15.08	Professional	26	$15.08	$15.08	$15.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $192.91 / $347.07	Professional		$89.94	$192.91	$347.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.84 / $63.20 / $93.76	Professional	26	$29.84	$63.20	$93.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.51 / $122.36 / $254.38	Professional	TC	$63.51	$122.36	$254.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.69 / $31.72 / $69.17	Facility	26	$29.69	$31.72	$69.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $101.56 / $296.25	Professional		$50.15	$101.56	$296.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $30.56 / $98.43	Professional	26	$15.52	$30.56	$98.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.95 / $55.20 / $161.05	Professional	TC	$32.95	$55.20	$161.05
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $77.94 / $160.58 / $256.47	Facility	26	$77.94	$160.58	$256.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,150.51 / $1,210.67 / $1,210.67	Professional		$1,150.51	$1,210.67	$1,210.67
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $360.79 / $361.60 / $361.60	Professional	26	$360.79	$361.60	$361.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $788.91 / $914.18 / $914.18	Professional	TC	$788.91	$914.18	$914.18
United Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $141.38 / $329.11	Professional		$63.42	$141.38	$329.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.77 / $35.11 / $83.38	Professional	26	$20.77	$35.11	$83.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.65 / $101.20 / $208.51	Professional	TC	$42.65	$101.20	$208.51