Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.94 / $136.13 / $419.50	Facility		$35.94	$136.13	$419.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $11.68 / $13.48	Facility	26	$7.20	$11.68	$13.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.03 / $25.12 / $289.72	Facility	TC	$15.03	$25.12	$289.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $27.07 / $64.00	Professional		$22.25	$27.07	$64.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $8.44 / $20.03	Professional	26	$7.21	$8.44	$20.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $18.04 / $33.92	Professional	TC	$15.04	$18.04	$33.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $27.16 / $45.13	Professional		$16.79	$27.16	$45.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $8.94 / $19.20	Professional	26	$6.16	$8.94	$19.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.55 / $11.55 / $11.55	Professional	TC	$11.55	$11.55	$11.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $37.60 / $69.11	Professional		$21.95	$37.60	$69.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $13.23 / $20.29	Professional	26	$8.02	$13.23	$20.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.20 / $26.01 / $49.02	Professional	TC	$17.20	$26.01	$49.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.71 / $54.67 / $150.56	Facility		$36.71	$54.67	$150.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $10.31	Facility	26	$9.61	$9.61	$10.31
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.00 / $22.00 / $26.33	Facility	TC	$22.00	$22.00	$26.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $37.17 / $61.07	Professional		$22.87	$37.17	$61.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $11.94 / $19.27	Professional	26	$7.45	$11.94	$19.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.81 / $26.14 / $42.59	Professional	TC	$15.81	$26.14	$42.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $359.91 / $359.91	Facility		$73.63	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $100.00 / $100.00	Facility	26	$24.54	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $49.08 / $107.45 / $107.45	Facility	TC	$49.08	$107.45	$107.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $178.47 / $178.47 / $235.80	Professional		$178.47	$178.47	$235.80
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.59 / $77.59 / $77.59	Professional	26	$77.59	$77.59	$77.59
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $163.00 / $163.00 / $168.08	Professional	TC	$163.00	$163.00	$168.08
United Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $31.50 / $55.27	Professional		$25.98	$31.50	$55.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $10.30 / $18.07	Professional	26	$8.39	$10.30	$18.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $21.20 / $39.70	Professional	TC	$17.67	$21.20	$39.70