Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.18 / $200.10 / $407.03	Facility		$68.18	$200.10	$407.03
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 $33.15 / $268.30 / $318.83	Facility	TC	$33.15	$268.30	$318.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $40.90 / $88.81	Professional		$31.89	$40.90	$88.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $10.75 / $28.92	Professional	26	$9.26	$10.75	$28.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.62 / $27.11 / $50.15	Professional	TC	$22.62	$27.11	$50.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $45.50 / $61.95	Professional		$29.56	$45.50	$61.95
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 $18.14 / $31.16 / $37.65	Professional	TC	$18.14	$31.16	$37.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $51.19 / $85.39	Professional		$28.97	$51.19	$85.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.33 / $17.00 / $27.26	Professional	26	$10.33	$17.00	$27.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $35.47 / $60.60	Professional	TC	$21.08	$35.47	$60.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.34 / $75.78 / $150.56	Facility		$53.34	$75.78	$150.56
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 / $32.79	Facility	TC	$27.50	$27.50	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $45.82 / $80.80	Professional		$31.93	$45.82	$80.80
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 $22.21 / $32.68 / $58.21	Professional	TC	$22.21	$32.68	$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 $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 $61.48 / $158.84 / $158.84	Facility	TC	$61.48	$158.84	$158.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $256.38 / $256.38 / $333.60	Professional		$256.38	$256.38	$333.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.56 / $82.56 / $135.00	Professional	26	$82.56	$82.56	$135.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $211.00 / $211.00 / $247.28	Professional	TC	$211.00	$211.00	$247.28
United Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $42.22 / $74.06	Professional		$34.76	$42.22	$74.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.77 / $13.25 / $24.30	Professional	26	$10.77	$13.25	$24.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.14 / $28.97 / $50.92	Professional	TC	$24.14	$28.97	$50.92