Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $125.89 / $389.05	Facility		$34.67	$125.89	$389.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $8.13 / $43.65	Facility	26	$6.92	$8.13	$43.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.20 / $26.92 / $309.03	Facility	TC	$18.20	$26.92	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $85.11	Professional		$16.22	$32.36	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $15.14 / $39.81	Professional	26	$6.76	$15.14	$39.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $77.62 / $177.83	Professional	50	$17.78	$77.62	$177.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.49 / $29.51 / $67.61	Professional	52	$13.49	$29.51	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.70 / $64.57	Professional	TC	$16.98	$25.70	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $45.71	Professional		$18.62	$24.55	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $7.59 / $12.88	Professional	26	$5.89	$7.59	$12.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $31.62 / $39.81 / $70.79	Professional	50	$31.62	$39.81	$70.79
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	52	$17.78	$17.78	$17.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $21.38 / $34.67	Professional	TC	$14.13	$21.38	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.84 / $60.26	Professional		$17.38	$28.84	$60.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.30 / $20.42	Professional	26	$7.94	$12.30	$20.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $28.18 / $51.29	Professional	TC	$17.78	$28.18	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $52.48 / $147.91	Facility		$39.81	$52.48	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $9.77 / $9.77	Facility	26	$9.77	$9.77	$9.77
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $22.39 / $22.39	Facility	TC	$22.39	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $60.26	Professional		$23.99	$33.11	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.47 / $18.62	Professional	26	$7.08	$10.47	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.99 / $45.71	Professional	TC	$16.60	$23.99	$45.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $363.08	Facility		$199.53	$199.53	$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 $147.91 / $147.91 / $147.91	Facility	TC	$147.91	$147.91	$147.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $263.03	Professional		$199.53	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $64.57 / $64.57	Professional	26	$61.66	$64.57	$64.57
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $199.53 / $199.53	Professional	TC	$154.88	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $109.65 / $134.90	Facility		$35.48	$109.65	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $56.23	Professional		$25.70	$30.90	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.12 / $16.60	Professional	26	$7.59	$9.12	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $21.38 / $39.81	Professional	TC	$17.78	$21.38	$39.81