Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.29 / $222.86 / $469.41	Facility		$74.29	$222.86	$469.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.72 / $7.76 / $13.20	Facility	26	$3.72	$7.76	$13.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.73 / $205.97 / $248.81	Facility	TC	$19.73	$205.97	$248.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.84 / $43.36	Professional		$17.78	$21.84	$43.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $8.49 / $22.69	Professional	26	$7.51	$8.49	$22.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.55 / $13.89 / $24.59	Professional	TC	$10.55	$13.89	$24.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $37.92 / $39.59	Professional		$15.63	$37.92	$39.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $8.83 / $16.05	Professional	26	$6.42	$8.83	$16.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $10.17 / $21.24 / $22.07	Professional	TC	$10.17	$21.24	$22.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $28.40 / $51.46	Professional		$15.31	$28.40	$51.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $13.28 / $20.83	Professional	26	$7.91	$13.28	$20.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.89 / $15.86 / $34.54	Professional	TC	$9.89	$15.86	$34.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $47.97 / $141.68	Facility		$25.04	$47.97	$141.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $10.74	Facility	26	$9.67	$9.67	$10.74
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.98 / $16.98 / $19.39	Facility	TC	$16.98	$16.98	$19.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $28.51 / $51.84	Professional		$19.55	$28.51	$51.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $12.39 / $20.52	Professional	26	$7.56	$12.39	$20.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $16.47 / $33.08	Professional	TC	$10.47	$16.47	$33.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.18 / $359.91 / $359.91	Facility		$55.18	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $70.00 / $70.00	Facility	26	$20.47	$70.00	$70.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $36.54 / $94.62 / $94.62	Facility	TC	$36.54	$94.62	$94.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.42 / $165.42 / $218.63	Professional		$165.42	$165.42	$218.63
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.28 / $55.28 / $70.34	Professional	26	$55.28	$55.28	$70.34
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $110.07 / $110.07 / $148.28	Professional	TC	$110.07	$110.07	$148.28
United Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $95.77 / $179.57	Facility		$49.69	$95.77	$179.57
United Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $27.09 / $51.96	Professional		$19.62	$27.09	$51.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $10.74 / $19.54	Professional	26	$8.72	$10.74	$19.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.36 / $15.93 / $29.88	Professional	TC	$10.36	$15.93	$29.88