Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $169.82 / $323.59	Facility		$56.23	$169.82	$323.59
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $12.88 / $57.54	Facility	26	$9.33	$12.88	$57.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $60.26 / $251.19	Facility	TC	$22.39	$60.26	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $109.65	Professional		$30.90	$50.12	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $33.88	Professional	26	$8.91	$14.79	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $66.07	Professional	TC	$21.88	$32.36	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $58.88	Professional		$26.30	$35.48	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $24.55	Professional	26	$7.94	$10.96	$24.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $39.81	Professional	TC	$19.05	$27.54	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $77.62	Professional		$21.88	$37.15	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $17.38 / $27.54	Professional	26	$10.72	$17.38	$27.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $64.57	Professional	TC	$21.88	$35.48	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $69.18 / $107.15	Facility		$48.98	$69.18	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	TC	$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $75.86	Professional		$30.90	$42.66	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $14.45 / $24.55	Professional	26	$9.55	$14.45	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $56.23	Professional	TC	$20.89	$29.51	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $363.08	Facility		$257.04	$257.04	$363.08
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 $186.21 / $186.21 / $186.21	Facility	TC	$186.21	$186.21	$186.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $331.13	Professional		$257.04	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $120.23 / $120.23	Professional	26	$91.20	$120.23	$120.23
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $245.47 / $245.47	Professional	TC	$194.98	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $81.28 / $95.50	Facility		$36.31	$81.28	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $70.79	Professional		$33.11	$38.90	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.30 / $21.88	Professional	26	$10.47	$12.30	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.92 / $48.98	Professional	TC	$21.88	$26.92	$48.98