Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $201.57 / $528.76	Facility		$79.09	$201.57	$528.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $11.68 / $13.48	Facility	26	$7.20	$11.68	$13.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.09 / $212.34 / $474.16	Facility	TC	$30.09	$212.34	$474.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $33.29 / $73.00	Professional		$23.25	$33.29	$73.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $8.44 / $35.97	Professional	26	$7.21	$8.44	$35.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $25.06 / $160.57 / $206.00	Professional	50	$25.06	$160.57	$206.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $24.51 / $50.15	Professional	TC	$21.64	$24.51	$50.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $42.64 / $58.06	Professional		$26.24	$42.64	$58.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $8.94 / $15.41	Professional	26	$6.16	$8.94	$15.41
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $41.67 / $56.58 / $74.02	Professional	50	$41.67	$56.58	$74.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $32.99 / $37.65	Professional	TC	$17.07	$32.99	$37.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $43.74 / $77.70	Professional		$25.41	$43.74	$77.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $12.95 / $20.78	Professional	26	$7.96	$12.95	$20.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $31.92 / $57.66	Professional	TC	$19.89	$31.92	$57.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $65.69 / $107.97	Facility		$51.74	$65.69	$107.97
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 $26.72 / $26.72 / $32.44	Facility	TC	$26.72	$26.72	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $40.78 / $72.47	Professional		$28.00	$40.78	$72.47
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 $49.18 / $49.18 / $49.18	Professional	50	$49.18	$49.18	$49.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.74 / $30.14 / $56.56	Professional	TC	$20.74	$30.14	$56.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $359.91 / $359.91	Facility		$79.34	$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 $61.48 / $158.84 / $158.84	Facility	TC	$61.48	$158.84	$158.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.86 / $234.86 / $315.00	Professional		$234.86	$234.86	$315.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.70 / $67.70 / $67.73	Professional	26	$67.70	$67.70	$67.73
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $181.68 / $181.68 / $247.28	Professional	TC	$181.68	$181.68	$247.28
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 $29.49 / $37.85 / $67.54	Professional		$29.49	$37.85	$67.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $10.30 / $18.05	Professional	26	$8.27	$10.30	$18.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.94 / $28.09 / $49.48	Professional	TC	$20.94	$28.09	$49.48