Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $162.18 / $416.87	Facility		$35.48	$162.18	$416.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $10.00 / $44.67	Facility	26	$7.24	$10.00	$44.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $28.18 / $213.80	Facility	TC	$18.62	$28.18	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $33.11 / $85.11	Professional		$9.77	$33.11	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $13.18 / $38.90	Professional	26	$7.08	$13.18	$38.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $93.33 / $213.80	Professional	50	$30.20	$93.33	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.20 / $69.18	Professional	TC	$18.20	$30.20	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $47.86	Professional		$20.42	$30.20	$47.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.76 / $16.98	Professional	26	$6.17	$7.76	$16.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $39.81 / $53.70	Professional	50	$30.20	$39.81	$53.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.39 / $34.67	Professional	TC	$15.14	$22.39	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $67.61	Professional		$22.91	$33.88	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.18 / $20.89	Professional	26	$8.32	$13.18	$20.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.88 / $54.95	Professional	TC	$20.89	$33.88	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $63.10 / $107.15	Facility		$44.67	$63.10	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $10.23	Facility	26	$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $22.91 / $22.91	Facility	TC	$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $64.57	Professional		$26.92	$37.15	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $19.50	Professional	26	$7.41	$11.22	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $27.54 / $50.12	Professional	TC	$19.95	$27.54	$50.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $363.08	Facility		$208.93	$208.93	$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 $208.93 / $275.42 / $275.42	Professional		$208.93	$275.42	$275.42
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 $28.18 / $33.88 / $58.88	Professional		$28.18	$33.88	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.77 / $16.98	Professional	26	$8.13	$9.77	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $23.99 / $42.66	Professional	TC	$19.95	$23.99	$42.66