Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.43 / $116.45 / $279.89	Facility		$69.43	$116.45	$279.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $11.19 / $12.90	Facility	26	$6.90	$11.19	$12.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.82 / $31.45 / $227.97	Facility	TC	$18.82	$31.45	$227.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $28.93 / $57.60	Professional		$21.00	$28.93	$57.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $8.13 / $24.16	Professional	26	$6.90	$8.13	$24.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $21.35 / $42.04	Professional	TC	$18.82	$21.35	$42.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $41.23 / $48.47	Professional		$28.89	$41.23	$48.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $8.22 / $17.70	Professional	26	$5.67	$8.22	$17.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.94 / $26.94 / $26.94	Professional	TC	$26.94	$26.94	$26.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $40.26 / $68.92	Professional		$23.23	$40.26	$68.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $12.67 / $19.91	Professional	26	$7.62	$12.67	$19.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $28.15 / $50.44	Professional	TC	$18.23	$28.15	$50.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $59.30 / $90.52	Facility		$44.15	$59.30	$90.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $9.86	Facility	26	$8.86	$8.86	$9.86
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 $25.18 / $37.69 / $64.30	Professional		$25.18	$37.69	$64.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $11.34 / $18.16	Professional	26	$6.95	$11.34	$18.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $27.27 / $49.96	Professional	TC	$18.41	$27.27	$49.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.72 / $359.91 / $359.91	Facility		$68.72	$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 $51.52 / $133.13 / $133.13	Facility	TC	$51.52	$133.13	$133.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.50 / $204.50 / $270.00	Professional		$204.50	$204.50	$270.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.30 / $74.30 / $74.30	Professional	26	$74.30	$74.30	$74.30
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 $28.45 / $34.56 / $58.69	Professional		$28.45	$34.56	$58.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.10 / $9.86 / $17.21	Professional	26	$8.10	$9.86	$17.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $23.34 / $43.33	Professional	TC	$19.12	$23.34	$43.33