Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $145.80 / $316.19	Facility		$39.21	$145.80	$316.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.39 / $13.59 / $15.69	Facility	26	$8.39	$13.59	$15.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.57 / $57.60 / $316.19	Facility	TC	$18.57	$57.60	$316.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $34.14 / $77.59	Professional		$26.14	$34.14	$77.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $10.19 / $25.94	Professional	26	$8.39	$10.19	$25.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.75 / $21.44 / $43.39	Professional	TC	$17.75	$21.44	$43.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $35.20 / $51.84	Professional		$22.55	$35.20	$51.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $10.40 / $22.30	Professional	26	$7.17	$10.40	$22.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.72 / $30.23 / $30.26	Professional	TC	$13.72	$30.23	$30.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $45.56 / $74.09	Professional		$25.19	$45.56	$74.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $16.29 / $26.30	Professional	26	$9.52	$16.29	$26.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.50 / $30.56 / $49.25	Professional	TC	$18.50	$30.56	$49.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.33 / $63.74 / $150.56	Facility		$46.33	$63.74	$150.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $13.25	Facility	26	$11.16	$11.16	$13.25
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.78 / $24.78 / $26.10	Facility	TC	$24.78	$24.78	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $42.79 / $71.56	Professional		$26.99	$42.79	$71.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.92 / $14.34 / $24.03	Professional	26	$8.92	$14.34	$24.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.50 / $28.93 / $49.54	Professional	TC	$18.50	$28.93	$49.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $359.91 / $359.91	Facility		$80.98	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $31.90 / $100.00 / $100.00	Facility	26	$31.90	$100.00	$100.00
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 $218.00 / $218.00 / $277.50	Professional		$218.00	$218.00	$277.50
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $87.52 / $87.52 / $87.52	Professional	26	$87.52	$87.52	$87.52
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $199.20 / $206.00 / $206.00	Professional	TC	$199.20	$206.00	$206.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $36.14 / $64.09	Professional		$29.55	$36.14	$64.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $12.00 / $21.04	Professional	26	$9.94	$12.00	$21.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.47 / $24.87 / $48.20	Professional	TC	$19.47	$24.87	$48.20