Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.37 / $99.32 / $255.63	Facility	26	$96.37	$99.32	$255.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.25 / $312.48 / $471.94	Professional		$231.25	$312.48	$471.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.50 / $105.12 / $155.77	Professional	26	$91.50	$105.12	$155.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.56 / $188.48 / $318.50	Professional	TC	$137.56	$188.48	$318.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $522.73 / $522.73 / $522.73	Professional		$522.73	$522.73	$522.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.67 / $366.68 / $655.51	Professional		$236.67	$366.68	$655.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.12 / $131.76 / $201.58	Professional	26	$96.12	$131.76	$201.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.22 / $224.63 / $459.37	Professional	TC	$139.22	$224.63	$459.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.11 / $330.96 / $663.74	Professional		$239.11	$330.96	$663.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.27 / $132.81 / $238.13	Professional	26	$101.27	$132.81	$238.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.81 / $207.38 / $436.91	Professional	TC	$117.81	$207.38	$436.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $232.57 / $495.05 / $495.05	Facility	26	$232.57	$495.05	$495.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,013.87 / $2,013.87 / $2,428.35	Professional		$2,013.87	$2,013.87	$2,428.35
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $716.57 / $716.57 / $802.73	Professional	26	$716.57	$716.57	$802.73
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,590.04 / $1,590.04 / $1,625.63	Professional	TC	$1,590.04	$1,590.04	$1,625.63
United Facility/Professional Professional Modifier Low / Median / High Price $222.10 / $328.41 / $684.74	Professional		$222.10	$328.41	$684.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.49 / $126.59 / $229.17	Professional	26	$95.49	$126.59	$229.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.97 / $197.08 / $398.59	Professional	TC	$117.97	$197.08	$398.59