Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.43 / $186.15 / $364.01	Facility		$69.43	$186.15	$364.01
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.62 / $10.75 / $12.40	Facility	26	$6.62	$10.75	$12.40
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.67 / $27.51 / $93.03	Facility	TC	$16.67	$27.51	$93.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $27.32 / $63.00	Professional		$21.74	$27.32	$63.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $7.64 / $22.69	Professional	26	$6.63	$7.64	$22.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.76 / $140.76 / $145.24	Professional	50	$140.76	$140.76	$145.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $19.54 / $37.40	Professional	TC	$16.67	$19.54	$37.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $39.58 / $44.49	Professional		$26.51	$39.58	$44.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $8.22 / $14.76	Professional	26	$5.67	$8.22	$14.76
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.53 / $26.39 / $26.58	Professional	TC	$13.53	$26.39	$26.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $36.86 / $62.40	Professional		$20.62	$36.86	$62.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $11.84 / $19.91	Professional	26	$7.38	$11.84	$19.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.52 / $26.05 / $45.60	Professional	TC	$15.52	$26.05	$45.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $55.88 / $88.86	Facility		$38.92	$55.88	$88.86
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 $21.27 / $21.27 / $24.24	Facility	TC	$21.27	$21.27	$24.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $34.54 / $58.71	Professional		$23.47	$34.54	$58.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $11.00 / $17.98	Professional	26	$6.94	$11.00	$17.98
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.33 / $41.33 / $41.33	Professional	50	$41.33	$41.33	$41.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.38 / $23.71 / $45.01	Professional	TC	$16.38	$23.71	$45.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $62.24 / $359.91 / $359.91	Facility		$62.24	$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 $45.82 / $118.47 / $118.47	Facility	TC	$45.82	$118.47	$118.47
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 $64.39 / $64.39 / $64.39	Professional	26	$64.39	$64.39	$64.39
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $161.00 / $161.00 / $185.03	Professional	TC	$161.00	$161.00	$185.03
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 $26.27 / $31.85 / $70.41	Professional		$26.27	$31.85	$70.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $9.86 / $16.60	Professional	26	$7.88	$9.86	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $21.85 / $38.83	Professional	TC	$18.32	$21.85	$38.83