Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $178.91 / $321.64	Facility		$54.18	$178.91	$321.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.99 / $13.48 / $210.80	Facility	26	$8.99	$13.48	$210.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.86 / $216.91 / $262.63	Facility	TC	$24.86	$216.91	$262.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $31.13 / $68.70	Professional		$27.02	$31.13	$68.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $10.14 / $26.29	Professional	26	$8.99	$10.14	$26.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $20.00 / $42.40	Professional	TC	$17.92	$20.00	$42.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $38.71 / $51.31	Professional		$23.07	$38.71	$51.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $10.57 / $19.22	Professional	26	$7.69	$10.57	$19.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.72 / $28.64 / $31.70	Professional	TC	$13.72	$28.64	$31.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $42.70 / $71.42	Professional		$23.51	$42.70	$71.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $16.23 / $25.84	Professional	26	$9.92	$16.23	$25.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $27.63 / $47.63	Professional	TC	$17.14	$27.63	$47.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.73 / $64.70 / $141.68	Facility		$43.73	$64.70	$141.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $12.86	Facility	26	$11.95	$11.95	$12.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.44 / $22.44 / $26.10	Facility	TC	$22.44	$22.44	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $40.61 / $70.69	Professional		$27.34	$40.61	$70.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.05 / $14.76 / $24.05	Professional	26	$9.05	$14.76	$24.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $25.85 / $44.80	Professional	TC	$17.64	$25.85	$44.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $359.91 / $359.91	Facility		$71.69	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $24.59 / $70.00 / $70.00	Facility	26	$24.59	$70.00	$70.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $49.38 / $127.63 / $127.63	Facility	TC	$49.38	$127.63	$127.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $215.20 / $282.68	Professional		$215.20	$215.20	$282.68
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.04 / $66.04 / $83.48	Professional	26	$66.04	$66.04	$83.48
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $149.15 / $149.15 / $199.20	Professional	TC	$149.15	$149.15	$199.20
United Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $35.95 / $62.14	Professional		$28.90	$35.95	$62.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $12.85 / $23.59	Professional	26	$10.41	$12.85	$23.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.93 / $23.53 / $42.95	Professional	TC	$18.93	$23.53	$42.95