Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.13 / $60.75 / $168.76	Facility	26	$55.13	$60.75	$168.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.83 / $434.50 / $761.69	Professional		$377.83	$434.50	$761.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.19 / $63.17 / $115.01	Professional	26	$53.19	$63.17	$115.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $322.70 / $369.41 / $658.58	Professional	TC	$322.70	$369.41	$658.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.56 / $92.52 / $103.95	Professional	26	$70.56	$92.52	$103.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.59 / $514.51 / $779.95	Professional		$373.59	$514.51	$779.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.63 / $79.90 / $123.85	Professional	26	$54.63	$79.90	$123.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $317.44 / $438.91 / $666.15	Professional	TC	$317.44	$438.91	$666.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $558.07 / $1,042.89	Professional		$350.00	$558.07	$1,042.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $87.22 / $150.02	Professional	26	$58.94	$87.22	$150.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $270.00 / $471.81 / $890.84	Professional	TC	$270.00	$471.81	$890.84
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $133.12 / $416.00 / $416.00	Facility	26	$133.12	$416.00	$416.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,713.40 / $3,905.69 / $3,905.69	Professional		$3,713.40	$3,905.69	$3,905.69
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $617.51 / $617.51 / $617.51	Professional	26	$617.51	$617.51	$617.51
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $3,576.06 / $3,683.35 / $3,683.35	Professional	TC	$3,576.06	$3,683.35	$3,683.35
United Facility/Professional Professional Modifier Low / Median / High Price $380.35 / $508.95 / $843.86	Professional		$380.35	$508.95	$843.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.57 / $82.57 / $135.19	Professional	26	$54.57	$82.57	$135.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $323.43 / $428.90 / $712.55	Professional	TC	$323.43	$428.90	$712.55