Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $113.46 / $272.51	Facility		$29.48	$113.46	$272.51
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.50 / $12.16 / $16.63	Facility	26	$7.50	$12.16	$16.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.00 / $34.65 / $58.65	Facility	TC	$21.00	$34.65	$58.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $33.50 / $60.75	Professional		$28.51	$33.50	$60.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $10.61 / $24.94	Professional	26	$7.51	$10.61	$24.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $23.10 / $40.58	Professional	TC	$21.00	$23.10	$40.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $49.82 / $49.82	Professional		$49.82	$49.82	$49.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $10.03 / $22.25	Professional	26	$6.42	$10.03	$22.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $50.31 / $80.88	Professional		$27.85	$50.31	$80.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $16.82 / $28.14	Professional	26	$9.46	$16.82	$28.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.72 / $33.54 / $53.02	Professional	TC	$20.72	$33.54	$53.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.11 / $70.59 / $150.56	Facility		$51.11	$70.59	$150.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $14.89	Facility	26	$10.01	$10.01	$14.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.50 / $27.50 / $30.58	Facility	TC	$27.50	$27.50	$30.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $45.90 / $78.23	Professional		$29.80	$45.90	$78.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $14.88 / $24.65	Professional	26	$8.69	$14.88	$24.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $31.53 / $57.37	Professional	TC	$21.01	$31.53	$57.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.54 / $359.91 / $359.91	Facility		$76.54	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $31.90 / $100.00 / $100.00	Facility	26	$31.90	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $57.91 / $149.66 / $149.66	Facility	TC	$57.91	$149.66	$149.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $230.47 / $303.45	Professional		$230.47	$230.47	$303.45
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.59 / $77.59 / $77.59	Professional	26	$77.59	$77.59	$77.59
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $214.00 / $214.00 / $233.18	Professional	TC	$214.00	$214.00	$233.18
United Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $39.70 / $68.97	Professional		$32.76	$39.70	$68.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $13.41 / $20.89	Professional	26	$9.92	$13.41	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.84 / $27.41 / $48.08	Professional	TC	$22.84	$27.41	$48.08