Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $195.02 / $403.94	Facility		$32.04	$195.02	$403.94
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.21 / $12.02 / $45.10	Facility	26	$7.21	$12.02	$45.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.20 / $47.48 / $336.00	Facility	TC	$27.20	$47.48	$336.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $30.82 / $69.84	Professional		$24.08	$30.82	$69.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $7.96 / $25.26	Professional	26	$7.21	$7.96	$25.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.02 / $64.22 / $105.64	Professional	50	$30.02	$64.22	$105.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $23.51 / $42.14	Professional	TC	$18.55	$23.51	$42.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $32.99 / $51.52	Professional		$22.21	$32.99	$51.52
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 50 Low / Median / High Price $36.56 / $36.56 / $42.15	Professional	50	$36.56	$36.56	$42.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $34.09 / $35.77	Professional	TC	$14.31	$34.09	$35.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $44.49 / $69.91	Professional		$24.42	$44.49	$69.91
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 $18.89 / $32.10 / $51.52	Professional	TC	$18.89	$32.10	$51.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $65.31 / $97.36	Facility		$48.37	$65.31	$97.36
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 $22.83 / $22.83 / $27.59	Facility	TC	$22.83	$22.83	$27.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $39.99 / $67.76	Professional		$27.00	$39.99	$67.76
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 50 Low / Median / High Price $43.94 / $43.94 / $43.94	Professional	50	$43.94	$43.94	$43.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.78 / $28.92 / $50.49	Professional	TC	$19.78	$28.92	$50.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $359.91 / $359.91	Facility		$69.39	$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 $208.83 / $208.83 / $275.39	Professional		$208.83	$208.83	$275.39
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 Facility Modifier Low / Median / High Price $95.77 / $95.77 / $95.77	Facility		$95.77	$95.77	$95.77
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $34.22 / $60.05	Professional		$28.52	$34.22	$60.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $9.88 / $18.07	Professional	26	$8.27	$9.88	$18.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $24.27 / $43.68	Professional	TC	$20.14	$24.27	$43.68