Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $223.87 / $549.54	Facility		$39.81	$223.87	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $10.96 / $57.54	Facility	26	$9.33	$10.96	$57.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $35.48 / $309.03	Facility	TC	$23.44	$35.48	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $93.33	Professional		$30.90	$44.67	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $30.20	Professional	26	$8.91	$12.30	$30.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $26.92 / $120.23 / $204.17	Professional	50	$26.92	$120.23	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $61.66	Professional	TC	$22.91	$32.36	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $61.66	Professional		$25.70	$35.48	$61.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $24.55	Professional	26	$7.94	$9.77	$24.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	50	$52.48	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $15.14 / $15.14 / $15.14	Professional	52	$15.14	$15.14	$15.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.20 / $41.69	Professional	TC	$23.99	$30.20	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $87.10	Professional		$25.12	$42.66	$87.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $28.18	Professional	26	$10.96	$17.78	$28.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $40.74 / $69.18	Professional	TC	$25.70	$40.74	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $79.43 / $190.55	Facility		$42.66	$79.43	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	TC	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $85.11	Professional		$33.88	$47.86	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.79 / $24.55	Professional	26	$9.77	$14.79	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.88 / $58.88	Professional	TC	$23.44	$33.88	$58.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Facility		$263.03	$263.03	$363.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $85.11	Facility	26	$70.79	$70.79	$85.11
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	TC	$194.98	$194.98	$194.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $346.74	Professional		$263.03	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $87.10 / $87.10	Professional	26	$67.61	$87.10	$87.10
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $263.03 / $263.03	Professional	TC	$194.98	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $134.90 / $134.90	Facility		$81.28	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $74.13	Professional		$36.31	$43.65	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.18 / $22.39	Professional	26	$10.47	$13.18	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $29.51 / $52.48	Professional	TC	$25.12	$29.51	$52.48