Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $104.83 / $248.55	Facility		$33.72	$104.83	$248.55
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $13.89 / $17.32	Facility	26	$9.25	$13.89	$17.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $32.78 / $70.39	Professional		$28.92	$32.78	$70.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $9.98 / $24.22	Professional	26	$9.25	$9.98	$24.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $22.41 / $44.93	Professional	TC	$19.76	$22.41	$44.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $39.13 / $53.44	Professional		$25.05	$39.13	$53.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $10.89 / $19.80	Professional	26	$7.92	$10.89	$19.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $17.98 / $19.12	Professional	TC	$15.29	$17.98	$19.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $45.84 / $77.86	Professional		$25.46	$45.84	$77.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $16.78 / $28.07	Professional	26	$10.28	$16.78	$28.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $29.80 / $52.45	Professional	TC	$19.18	$29.80	$52.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.78 / $62.14 / $98.00	Facility		$47.78	$62.14	$98.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $13.25	Facility	26	$11.95	$11.95	$13.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $43.34 / $73.41	Professional		$28.81	$43.34	$73.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $15.26 / $24.78	Professional	26	$9.38	$15.26	$24.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.79 / $28.92 / $53.12	Professional	TC	$19.79	$28.92	$53.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.90 / $359.91 / $359.91	Facility		$85.90	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $100.00 / $100.00	Facility	26	$36.81	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $236.90 / $236.90 / $308.18	Professional		$236.90	$236.90	$308.18
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.56 / $82.56 / $86.33	Professional	26	$82.56	$82.56	$86.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $190.00 / $221.85	Professional	TC	$190.00	$190.00	$221.85
United Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $36.03 / $36.03	Facility		$36.03	$36.03	$36.03
United Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $39.49 / $67.13	Professional		$32.32	$39.49	$67.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $13.25 / $23.71	Professional	26	$10.63	$13.25	$23.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.88 / $26.17 / $47.62	Professional	TC	$20.88	$26.17	$47.62