Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $123.03 / $446.68	Facility		$37.15	$123.03	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $10.00 / $44.67	Facility	26	$7.24	$10.00	$44.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.14 / $25.12 / $114.82	Facility	TC	$15.14	$25.12	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $83.18	Professional		$21.88	$37.15	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $28.84	Professional	26	$7.08	$9.12	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.39 / $54.95	Professional	TC	$15.14	$22.39	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $27.54 / $42.66	Professional		$16.98	$27.54	$42.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $8.13 / $14.45	Professional	26	$6.17	$8.13	$14.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $21.38 / $28.84	Professional	TC	$16.60	$21.38	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.90 / $60.26	Professional		$17.78	$30.90	$60.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.49 / $21.38	Professional	26	$8.32	$13.49	$21.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $28.18 / $48.98	Professional	TC	$18.62	$28.18	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $54.95 / $147.91	Facility		$35.48	$54.95	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $10.23	Facility	26	$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	TC	$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $60.26	Professional		$23.99	$34.67	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.22 / $19.05	Professional	26	$7.59	$11.22	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.44 / $41.69	Professional	TC	$15.85	$23.44	$41.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $363.08	Facility		$177.83	$177.83	$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 $125.89 / $125.89 / $125.89	Facility	TC	$125.89	$125.89	$125.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $234.42	Professional		$177.83	$234.42	$234.42
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	26	$77.62	$77.62	$77.62
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $169.82 / $169.82	Professional	TC	$162.18	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $109.65 / $134.90	Facility		$35.48	$109.65	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $54.95	Professional		$25.70	$30.90	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.77 / $16.98	Professional	26	$8.13	$9.77	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $20.89 / $37.15	Professional	TC	$16.98	$20.89	$37.15