Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $155.52 / $297.52	Facility		$34.72	$155.52	$297.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $11.03 / $12.90	Facility	26	$6.90	$11.03	$12.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.01 / $29.73 / $98.18	Facility	TC	$18.01	$29.73	$98.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $27.89 / $67.06	Professional		$23.78	$27.89	$67.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $7.64 / $27.46	Professional	26	$6.90	$7.64	$27.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.00 / $142.26 / $172.00	Professional	50	$33.00	$142.26	$172.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.89 / $13.18 / $23.33	Professional	52	$11.89	$13.18	$23.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $20.28 / $37.14	Professional	TC	$17.89	$20.28	$37.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $42.97 / $66.55	Professional		$28.29	$42.97	$66.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $8.56 / $14.76	Professional	26	$5.90	$8.56	$14.76
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $28.39 / $64.45 / $73.15	Professional	50	$28.39	$64.45	$73.15
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $17.80 / $17.80 / $17.80	Professional	52	$17.80	$17.80	$17.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.72 / $20.78 / $28.64	Professional	TC	$13.72	$20.78	$28.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $37.90 / $64.88	Professional		$22.06	$37.90	$64.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.52 / $12.13 / $19.41	Professional	26	$7.52	$12.13	$19.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.70 / $26.07 / $48.25	Professional	TC	$15.70	$26.07	$48.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $60.18 / $150.56	Facility		$44.15	$60.18	$150.56
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 $22.44 / $22.44 / $26.47	Facility	TC	$22.44	$22.44	$26.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $35.61 / $62.27	Professional		$24.36	$35.61	$62.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $11.39 / $18.23	Professional	26	$6.95	$11.39	$18.23
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.89 / $42.89 / $42.89	Professional	50	$42.89	$42.89	$42.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.44 / $24.97 / $47.49	Professional	TC	$17.44	$24.97	$47.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $359.91 / $359.91	Facility		$66.52	$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 $49.38 / $127.63 / $127.63	Facility	TC	$49.38	$127.63	$127.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $200.17 / $264.38	Professional		$200.17	$200.17	$264.38
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.09 / $61.09 / $65.18	Professional	26	$61.09	$61.09	$65.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $154.00 / $154.00 / $199.20	Professional	TC	$154.00	$154.00	$199.20
United Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $71.68 / $252.18	Facility		$36.03	$71.68	$252.18
United Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $32.83 / $57.89	Professional		$26.37	$32.83	$57.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $9.86 / $17.30	Professional	26	$7.88	$9.86	$17.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $22.95 / $41.28	Professional	TC	$18.48	$22.95	$41.28