Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $177.83 / $407.38	Facility		$63.10	$177.83	$407.38
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 / $120.23 / $331.13	Facility	TC	$22.39	$120.23	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $114.82	Professional		$30.90	$50.12	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.13 / $38.90	Professional	26	$8.91	$14.13	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.88 / $75.86	Professional	TC	$22.39	$33.88	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $58.88	Professional		$25.70	$35.48	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $19.05	Professional	26	$7.94	$10.96	$19.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.70 / $38.90	Professional	TC	$18.62	$25.70	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $79.43	Professional		$21.88	$38.90	$79.43
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 $22.91 / $38.02 / $64.57	Professional	TC	$22.91	$38.02	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $66.07 / $147.91	Facility		$51.29	$66.07	$147.91
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 $32.36 / $44.67 / $77.62	Professional		$32.36	$44.67	$77.62
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 $21.88 / $30.90 / $56.23	Professional	TC	$21.88	$30.90	$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 $83.18 / $134.90 / $134.90	Professional	26	$83.18	$134.90	$134.90
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $245.47 / $245.47	Professional	TC	$208.93	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $109.65 / $134.90	Facility		$36.31	$109.65	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $70.79	Professional		$33.88	$40.74	$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 $23.44 / $28.18 / $48.98	Professional	TC	$23.44	$28.18	$48.98