Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $204.17 / $512.86	Facility		$64.57	$204.17	$512.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $10.72 / $48.98	Facility	26	$7.76	$10.72	$48.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.55 / $74.13 / $457.09	Facility	TC	$24.55	$74.13	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $40.74 / $120.23	Professional		$9.33	$40.74	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $15.49 / $45.71	Professional	26	$7.94	$15.49	$45.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $20.89 / $85.11 / $223.87	Professional	50	$20.89	$85.11	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $39.81 / $91.20	Professional	TC	$24.55	$39.81	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $56.23	Professional		$25.70	$34.67	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.91 / $15.14	Professional	26	$6.61	$8.91	$15.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $39.81 / $53.70 / $93.33	Professional	50	$39.81	$53.70	$93.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.84 / $43.65	Professional	TC	$20.42	$28.84	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $79.43	Professional		$25.12	$38.90	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.45 / $22.91	Professional	26	$8.91	$14.45	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.90 / $70.79	Professional	TC	$25.12	$38.90	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $69.18 / $120.23	Facility		$56.23	$69.18	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.22	Facility	26	$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	TC	$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $79.43	Professional		$29.51	$42.66	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.02 / $20.89	Professional	26	$8.13	$12.02	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $31.62 / $61.66	Professional	TC	$22.39	$31.62	$61.66
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 $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	TC	$204.17	$204.17	$204.17
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 $79.43 / $79.43 / $79.43	Professional	26	$79.43	$79.43	$79.43
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $269.15 / $269.15	Professional	TC	$204.17	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $95.50 / $95.50	Facility		$36.31	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $72.44	Professional		$31.62	$39.81	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.47 / $18.62	Professional	26	$8.71	$10.47	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $53.70	Professional	TC	$21.88	$30.20	$53.70