Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $176.04 / $302.94	Facility		$57.17	$176.04	$302.94
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $15.01 / $17.32	Facility	26	$9.25	$15.01	$17.32
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $200.25 / $248.81	Facility	TC	$29.51	$200.25	$248.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.14 / $84.06	Professional		$31.62	$39.14	$84.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $10.75 / $25.94	Professional	26	$9.26	$10.75	$25.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.35 / $26.35 / $50.00	Professional	TC	$22.35	$26.35	$50.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $45.50 / $60.31	Professional		$27.04	$45.50	$60.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $10.89 / $20.14	Professional	26	$7.92	$10.89	$20.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $30.71 / $34.61	Professional	TC	$17.07	$30.71	$34.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $48.77 / $83.80	Professional		$27.70	$48.77	$83.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $17.11 / $28.07	Professional	26	$10.28	$17.11	$28.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.13 / $33.40 / $59.86	Professional	TC	$20.13	$33.40	$59.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $73.75 / $107.97	Facility		$49.34	$73.75	$107.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $13.25	Facility	26	$12.30	$12.30	$13.25
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.50 / $27.50 / $32.44	Facility	TC	$27.50	$27.50	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $44.59 / $78.81	Professional		$31.12	$44.59	$78.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $15.33 / $24.78	Professional	26	$9.59	$15.33	$24.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.83 / $30.37 / $58.21	Professional	TC	$21.83	$30.37	$58.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $359.91 / $359.91	Facility		$84.50	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $61.48 / $158.84 / $158.84	Facility	TC	$61.48	$158.84	$158.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $254.22 / $254.22 / $333.60	Professional		$254.22	$254.22	$333.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $90.81 / $90.81 / $120.00	Professional	26	$90.81	$90.81	$120.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $195.00 / $195.00 / $247.28	Professional	TC	$195.00	$195.00	$247.28
United Facility/Professional Facility Modifier Low / Median / High Price $35.76 / $95.77 / $179.57	Facility		$35.76	$95.77	$179.57
United Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $42.22 / $72.98	Professional		$33.96	$42.22	$72.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.77 / $13.25 / $22.30	Professional	26	$10.77	$13.25	$22.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $28.97 / $50.82	Professional	TC	$23.03	$28.97	$50.82