Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $177.83 / $467.74	Facility		$56.23	$177.83	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $9.77 / $41.69	Facility	26	$6.61	$9.77	$41.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $30.90 / $213.80	Facility	TC	$18.62	$30.90	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $33.11 / $89.13	Professional		$10.96	$33.11	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $13.18 / $42.66	Professional	26	$6.31	$13.18	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $79.43 / $151.36	Professional	50	$17.78	$79.43	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $61.66	Professional	TC	$18.20	$28.84	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $43.65	Professional		$19.05	$27.54	$43.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.41 / $15.49	Professional	26	$5.75	$7.41	$15.49
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $63.10 / $66.07	Professional	50	$37.15	$63.10	$66.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.91 / $34.67	Professional	TC	$18.62	$22.91	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.20 / $63.10	Professional		$17.38	$30.20	$63.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.88 / $20.42	Professional	26	$7.76	$12.88	$20.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $29.51 / $53.70	Professional	TC	$19.05	$29.51	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $52.48 / $89.13	Facility		$38.90	$52.48	$89.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $9.55 / $9.55	Facility	26	$9.55	$9.55	$9.55
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	TC	$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $61.66	Professional		$25.12	$34.67	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.96 / $18.62	Professional	26	$6.92	$10.96	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $24.55 / $46.77	Professional	TC	$17.38	$24.55	$46.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
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 $154.88 / $154.88 / $154.88	Facility	TC	$154.88	$154.88	$154.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $269.15	Professional		$204.17	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $72.44 / $75.86	Professional	26	$72.44	$72.44	$75.86
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $204.17 / $204.17	Professional	TC	$162.18	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $81.28 / $95.50	Facility		$35.48	$81.28	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $56.23	Professional		$26.30	$30.90	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.55 / $15.85	Professional	26	$7.59	$9.55	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.39 / $40.74	Professional	TC	$18.20	$22.39	$40.74