Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $114.82 / $331.13	Facility		$52.48	$114.82	$331.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $9.55 / $43.65	Facility	26	$6.92	$9.55	$43.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $28.18 / $229.09	Facility	TC	$18.62	$28.18	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $30.90 / $69.18	Professional		$11.48	$30.90	$69.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.96 / $33.88	Professional	26	$6.03	$10.96	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $48.98	Professional	TC	$18.20	$25.70	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $48.98	Professional		$19.95	$30.20	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.76 / $15.85	Professional	26	$5.75	$7.76	$15.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $21.88 / $31.62	Professional	TC	$16.22	$21.88	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $31.62 / $64.57	Professional		$18.62	$31.62	$64.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.18 / $20.42	Professional	26	$7.94	$13.18	$20.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $30.20 / $53.70	Professional	TC	$19.50	$30.20	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $53.70 / $91.20	Facility		$42.66	$53.70	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $9.77 / $9.77	Facility	26	$9.77	$9.77	$9.77
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	TC	$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $61.66	Professional		$25.70	$36.31	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.96 / $19.05	Professional	26	$6.92	$10.96	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $46.77	Professional	TC	$18.20	$25.70	$46.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $363.08	Facility		$204.17	$204.17	$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 $154.88 / $154.88 / $154.88	Facility	TC	$154.88	$154.88	$154.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $269.15	Professional		$204.17	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	26	$74.13	$74.13	$74.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $208.93 / $208.93	Professional	TC	$177.83	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $81.28 / $95.50	Facility		$35.48	$81.28	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $57.54	Professional		$26.92	$33.11	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.55 / $16.60	Professional	26	$7.94	$9.55	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.91 / $41.69	Professional	TC	$18.62	$22.91	$41.69