Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $96.19 / $251.30	Facility		$33.72	$96.19	$251.30
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 $20.19 / $33.31 / $55.06	Facility	TC	$20.19	$33.31	$55.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $31.00 / $59.62	Professional		$24.22	$31.00	$59.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $8.25 / $24.22	Professional	26	$6.90	$8.25	$24.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.43 / $98.00 / $120.00	Professional	50	$59.43	$98.00	$120.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.92 / $14.33 / $28.99	Professional	52	$12.92	$14.33	$28.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $22.76 / $40.50	Professional	TC	$20.07	$22.76	$40.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $45.09 / $50.97	Professional		$25.14	$45.09	$50.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $8.11 / $18.38	Professional	26	$5.90	$8.11	$18.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $41.41 / $71.62	Professional		$23.00	$41.41	$71.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.73 / $20.26	Professional	26	$7.59	$12.73	$20.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.34 / $29.39 / $51.86	Professional	TC	$18.34	$29.39	$51.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $64.98 / $96.75	Facility		$48.61	$64.98	$96.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.86	Facility	26	$9.19	$9.19	$9.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.56 / $25.56 / $29.08	Facility	TC	$25.56	$25.56	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $38.35 / $70.09	Professional		$26.13	$38.35	$70.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $11.43 / $18.47	Professional	26	$7.12	$11.43	$18.47
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.09 / $47.09 / $47.09	Professional	50	$47.09	$47.09	$47.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.36 / $28.05 / $53.93	Professional	TC	$19.36	$28.05	$53.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $359.91 / $359.91	Facility		$71.48	$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 $54.35 / $140.51 / $140.51	Facility	TC	$54.35	$140.51	$140.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $217.55 / $217.55 / $284.18	Professional		$217.55	$217.55	$284.18
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $59.45 / $59.45 / $65.18	Professional	26	$59.45	$59.45	$65.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $166.53 / $166.53 / $219.00	Professional	TC	$166.53	$166.53	$219.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $36.11 / $62.58	Professional		$27.25	$36.11	$62.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $9.86 / $16.60	Professional	26	$8.06	$9.86	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $24.57 / $44.35	Professional	TC	$18.48	$24.57	$44.35