Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $141.25 / $338.84	Facility		$50.12	$141.25	$338.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $12.88 / $208.93	Facility	26	$8.91	$12.88	$208.93
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.20 / $81.28 / $263.03	Facility	TC	$18.20	$81.28	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $104.71	Professional		$26.30	$43.65	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $43.65	Professional	26	$7.94	$11.75	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $63.10	Professional	TC	$18.20	$26.92	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $45.71	Professional		$21.38	$26.92	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.77 / $17.38	Professional	26	$7.76	$9.77	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $20.89 / $30.90	Professional	TC	$14.45	$20.89	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.11 / $67.61	Professional		$17.78	$33.11	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.60 / $26.30	Professional	26	$10.23	$16.60	$26.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $29.51 / $51.29	Professional	TC	$18.62	$29.51	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $60.26 / $154.88	Facility		$35.48	$60.26	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $12.88	Facility	26	$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $22.39 / $22.39	Facility	TC	$22.39	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.02 / $69.18	Professional		$27.54	$38.02	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $24.55	Professional	26	$9.33	$14.13	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.12 / $44.67	Professional	TC	$17.38	$25.12	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $363.08	Facility		$213.80	$213.80	$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 $147.91 / $147.91 / $147.91	Facility	TC	$147.91	$147.91	$147.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $281.84	Professional		$213.80	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $83.18	Professional	26	$66.07	$83.18	$83.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $199.53 / $199.53	Professional	TC	$147.91	$199.53	$199.53
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 $28.18 / $33.88 / $61.66	Professional		$28.18	$33.88	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.30 / $21.38	Professional	26	$10.00	$12.30	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $21.88 / $39.81	Professional	TC	$17.78	$21.88	$39.81