Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $205.45 / $293.45	Facility		$31.00	$205.45	$293.45
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 $18.55 / $31.00 / $237.08	Facility	TC	$18.55	$31.00	$237.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $29.48 / $60.00	Professional		$25.77	$29.48	$60.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $7.78 / $18.59	Professional	26	$7.21	$7.78	$18.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $21.69 / $41.83	Professional	TC	$18.55	$21.69	$41.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $45.94 / $49.54	Professional		$23.00	$45.94	$49.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $9.63 / $19.20	Professional	26	$6.16	$9.63	$19.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $31.56 / $31.56	Professional	TC	$16.82	$31.56	$31.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $38.79 / $64.20	Professional		$22.68	$38.79	$64.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $12.95 / $20.78	Professional	26	$8.00	$12.95	$20.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $27.87 / $48.79	Professional	TC	$16.96	$27.87	$48.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.73 / $58.57 / $90.52	Facility		$43.73	$58.57	$90.52
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 $23.61 / $23.61 / $27.22	Facility	TC	$23.61	$23.61	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $38.15 / $67.41	Professional		$25.54	$38.15	$67.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $11.92 / $19.27	Professional	26	$7.30	$11.92	$19.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $26.58 / $49.88	Professional	TC	$18.41	$26.58	$49.88
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 $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 $51.52 / $133.13 / $133.13	Facility	TC	$51.52	$133.13	$133.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.83 / $208.83 / $275.39	Professional		$208.83	$208.83	$275.39
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.56 / $82.56 / $82.56	Professional	26	$82.56	$82.56	$82.56
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $176.00 / $176.00 / $207.68	Professional	TC	$176.00	$176.00	$207.68
United Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $34.61 / $60.72	Professional		$28.38	$34.61	$60.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $10.30 / $18.91	Professional	26	$8.27	$10.30	$18.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.77 / $24.31 / $42.66	Professional	TC	$19.77	$24.31	$42.66