Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.66 / $127.80 / $352.96	Facility		$49.66	$127.80	$352.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.50 / $10.87 / $14.04	Facility	26	$7.50	$10.87	$14.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.73 / $34.61 / $164.93	Facility	TC	$20.73	$34.61	$164.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $31.37 / $63.00	Professional		$24.22	$31.37	$63.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $8.83 / $24.22	Professional	26	$7.51	$8.83	$24.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $96.45 / $126.26 / $126.26	Professional	50	$96.45	$126.26	$126.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $22.53 / $40.08	Professional	TC	$20.73	$22.53	$40.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $34.53 / $54.08	Professional		$25.11	$34.53	$54.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $9.31 / $20.00	Professional	26	$6.42	$9.31	$20.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.89 / $15.89 / $15.89	Professional	TC	$15.89	$15.89	$15.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $45.14 / $73.27	Professional		$24.99	$45.14	$73.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $13.73 / $22.44	Professional	26	$8.31	$13.73	$22.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.68 / $31.73 / $55.52	Professional	TC	$19.68	$31.73	$55.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $74.90 / $145.40	Facility		$52.54	$74.90	$145.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.74	Facility	26	$10.01	$10.01	$10.74
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.33 / $26.33 / $30.20	Facility	TC	$26.33	$26.33	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $42.44 / $73.98	Professional		$28.42	$42.44	$73.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $12.55 / $20.23	Professional	26	$7.70	$12.55	$20.23
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 $20.44 / $30.63 / $52.03	Professional	TC	$20.44	$30.63	$52.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.83 / $359.91 / $359.91	Facility		$75.83	$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 $57.20 / $147.82 / $147.82	Facility	TC	$57.20	$147.82	$147.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $226.14 / $226.14 / $300.68	Professional		$226.14	$226.14	$300.68
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.28 / $55.28 / $70.34	Professional	26	$55.28	$55.28	$70.34
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $170.86 / $170.86 / $230.33	Professional	TC	$170.86	$170.86	$230.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $37.69 / $65.91	Professional		$30.46	$37.69	$65.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.75 / $10.74 / $18.76	Professional	26	$8.75	$10.74	$18.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.86 / $26.73 / $48.70	Professional	TC	$20.86	$26.73	$48.70