Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $258.70 / $490.37	Facility		$39.60	$258.70	$490.37
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 $23.71 / $39.60 / $316.76	Facility	TC	$23.71	$39.60	$316.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $37.10 / $73.00	Professional		$32.97	$37.10	$73.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $10.36 / $17.32	Professional	26	$9.25	$10.36	$17.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.99 / $118.99 / $118.99	Professional	50	$118.99	$118.99	$118.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $26.27 / $45.57	Professional	TC	$23.71	$26.27	$45.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $44.03 / $62.80	Professional		$30.78	$44.03	$62.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $8.71 / $24.60	Professional	26	$7.83	$8.71	$24.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $55.53 / $90.20	Professional		$30.57	$55.53	$90.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $17.45 / $27.50	Professional	26	$10.19	$17.45	$27.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.73 / $39.14 / $64.86	Professional	TC	$23.73	$39.14	$64.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.95 / $85.17 / $188.37	Facility		$58.95	$85.17	$188.37
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 $29.45 / $29.45 / $34.29	Facility	TC	$29.45	$29.45	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $50.69 / $86.36	Professional		$33.76	$50.69	$86.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $15.51 / $24.79	Professional	26	$9.51	$15.51	$24.79
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.50 / $56.50 / $56.50	Professional	50	$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.66 / $35.10 / $62.46	Professional	TC	$23.66	$35.10	$62.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $359.91 / $359.91	Facility		$85.00	$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 $65.04 / $168.01 / $168.01	Facility	TC	$65.04	$168.01	$168.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $265.10 / $265.10 / $347.78	Professional		$265.10	$265.10	$347.78
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 $196.89 / $196.89 / $261.45	Professional	TC	$196.89	$196.89	$261.45
United Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $44.15 / $75.04	Professional		$36.38	$44.15	$75.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $13.25 / $23.02	Professional	26	$10.74	$13.25	$23.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.41 / $30.90 / $54.28	Professional	TC	$25.41	$30.90	$54.28