Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $217.56 / $430.35	Facility		$54.02	$217.56	$430.35
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $13.41 / $17.32	Facility	26	$9.25	$13.41	$17.32
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.86 / $161.97 / $255.72	Facility	TC	$32.86	$161.97	$255.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $41.58 / $88.35	Professional		$28.57	$41.58	$88.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $10.47 / $21.74	Professional	26	$9.26	$10.47	$21.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $30.39 / $63.00	Professional	TC	$27.55	$30.39	$63.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $54.55 / $72.30	Professional		$32.33	$54.55	$72.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $10.89 / $19.80	Professional	26	$7.92	$10.89	$19.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.80 / $46.73 / $48.55	Professional	TC	$21.80	$46.73	$48.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $57.47 / $98.62	Professional		$33.02	$57.47	$98.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.63 / $26.72	Professional	26	$10.23	$16.63	$26.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.57 / $42.26 / $73.70	Professional	TC	$26.57	$42.26	$73.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $97.32 / $145.40	Facility		$67.77	$97.32	$145.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $13.25	Facility	26	$12.30	$12.30	$13.25
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $34.52 / $34.52 / $41.38	Facility	TC	$34.52	$34.52	$41.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $55.25 / $95.31	Professional		$36.70	$55.25	$95.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $15.26 / $24.78	Professional	26	$9.32	$15.26	$24.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $40.06 / $68.38	Professional	TC	$27.55	$40.06	$68.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $94.81 / $359.91 / $359.91	Facility		$94.81	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $70.00 / $70.00	Facility	26	$50.00	$70.00	$70.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $78.56 / $202.87 / $202.87	Facility	TC	$78.56	$202.87	$202.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $301.95 / $301.95 / $401.48	Professional		$301.95	$301.95	$401.48
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $68.20 / $68.20 / $86.33	Professional	26	$68.20	$68.20	$86.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $233.75 / $233.75 / $315.14	Professional	TC	$233.75	$233.75	$315.14
United Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $49.04 / $84.13	Professional		$39.27	$49.04	$84.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $13.25 / $23.10	Professional	26	$10.63	$13.25	$23.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $36.72 / $64.45	Professional	TC	$28.18	$36.72	$64.45