Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $111.60 / $365.40	Facility		$49.63	$111.60	$365.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $8.08 / $12.90	Facility	26	$6.90	$8.08	$12.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.96 / $219.79 / $491.58	Facility	TC	$16.96	$219.79	$491.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $27.32 / $62.00	Professional		$21.01	$27.32	$62.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.59 / $22.56	Professional	26	$6.74	$7.59	$22.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.69 / $103.54 / $103.54	Professional	50	$89.69	$103.54	$103.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $19.22 / $35.79	Professional	TC	$16.39	$19.22	$35.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $33.57 / $44.98	Professional		$19.97	$33.57	$44.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $8.56 / $18.38	Professional	26	$5.90	$8.56	$18.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.54 / $29.13 / $29.13	Professional	TC	$12.54	$29.13	$29.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $38.04 / $62.40	Professional		$21.17	$38.04	$62.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $11.66 / $19.03	Professional	26	$7.32	$11.66	$19.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $27.12 / $44.86	Professional	TC	$15.58	$27.12	$44.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $55.97 / $88.86	Facility		$42.27	$55.97	$88.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.44	Facility	26	$9.19	$9.19	$9.44
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $20.49 / $20.49 / $23.86	Facility	TC	$20.49	$20.49	$23.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $34.69 / $60.00	Professional		$23.70	$34.69	$60.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $10.99 / $18.02	Professional	26	$6.84	$10.99	$18.02
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.76 / $39.76 / $39.76	Professional	50	$39.76	$39.76	$39.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.91 / $24.82 / $43.37	Professional	TC	$16.91	$24.82	$43.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $359.91 / $359.91	Facility		$63.81	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $19.63 / $100.00 / $100.00	Facility	26	$19.63	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $45.10 / $116.61 / $116.61	Facility	TC	$45.10	$116.61	$116.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $187.12 / $247.35	Professional		$187.12	$187.12	$247.35
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.70 / $67.70 / $67.70	Professional	26	$67.70	$67.70	$67.70
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $160.00 / $160.00 / $182.25	Professional	TC	$160.00	$160.00	$182.25
United Facility/Professional Facility Modifier Low / Median / High Price $35.76 / $95.77 / $179.57	Facility		$35.76	$95.77	$179.57
United Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $31.45 / $63.37	Professional		$25.98	$31.45	$63.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $9.86 / $16.89	Professional	26	$7.79	$9.86	$16.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $21.59 / $37.86	Professional	TC	$17.98	$21.59	$37.86