Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $223.87 / $436.52	Facility		$48.98	$223.87	$436.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $8.71 / $46.77	Facility	26	$7.08	$8.71	$46.77
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $13.18 / $74.13 / $257.04	Facility	TC	$13.18	$74.13	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $52.48	Professional		$18.20	$26.30	$52.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $36.31	Professional	26	$7.08	$8.91	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.60 / $33.11	Professional	TC	$10.96	$16.60	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.42 / $34.67	Professional		$15.49	$20.42	$34.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.94 / $14.45	Professional	26	$6.46	$7.94	$14.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $13.80 / $21.38	Professional	TC	$11.75	$13.80	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $22.39 / $50.12	Professional		$9.55	$22.39	$50.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.80 / $21.88	Professional	26	$8.51	$13.80	$21.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $16.98 / $36.31	Professional	TC	$10.47	$16.98	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $44.67 / $154.88	Facility		$23.44	$44.67	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $10.72 / $10.72	Facility	26	$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	TC	$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $27.54 / $51.29	Professional		$19.50	$27.54	$51.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.02 / $20.42	Professional	26	$7.76	$12.02	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $15.85 / $33.88	Professional	TC	$10.00	$15.85	$33.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $363.08	Facility		$165.96	$165.96	$363.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	TC	$109.65	$109.65	$109.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $218.78	Professional		$165.96	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $70.79 / $70.79	Professional	26	$54.95	$70.79	$70.79
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $147.91 / $147.91	Professional	TC	$109.65	$147.91	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $95.50 / $95.50	Facility		$50.12	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $46.77	Professional		$19.05	$25.12	$46.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.23 / $17.78	Professional	26	$8.51	$10.23	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $15.14 / $28.84	Professional	TC	$10.00	$15.14	$28.84