Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.15 / $166.46 / $332.93	Facility		$42.15	$166.46	$332.93
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $11.03 / $12.90	Facility	26	$6.90	$11.03	$12.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.10 / $31.90 / $187.63	Facility	TC	$19.10	$31.90	$187.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $28.46 / $57.32	Professional		$24.81	$28.46	$57.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $7.48 / $17.39	Professional	26	$6.90	$7.48	$17.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.97 / $92.31 / $160.04	Professional	50	$91.97	$92.31	$160.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.41 / $13.77 / $24.33	Professional	52	$12.41	$13.77	$24.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $21.00 / $36.59	Professional	TC	$18.53	$21.00	$36.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $33.99 / $48.47	Professional		$19.13	$33.99	$48.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.66 / $8.22 / $14.76	Professional	26	$5.66	$8.22	$14.76
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $35.86 / $35.86 / $35.86	Professional	50	$35.86	$35.86	$35.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.16 / $26.16 / $29.88	Professional	TC	$26.16	$26.16	$29.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $39.20 / $69.64	Professional		$22.65	$39.20	$69.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $12.13 / $19.43	Professional	26	$7.38	$12.13	$19.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.51 / $28.56 / $52.27	Professional	TC	$17.51	$28.56	$52.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $61.37 / $91.77	Facility		$46.10	$61.37	$91.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $9.86	Facility	26	$8.86	$8.86	$9.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.39 / $24.39 / $27.59	Facility	TC	$24.39	$24.39	$27.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $37.27 / $64.97	Professional		$24.86	$37.27	$64.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $11.16 / $18.14	Professional	26	$6.95	$11.16	$18.14
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $45.51 / $45.51 / $45.51	Professional	50	$45.51	$45.51	$45.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $26.67 / $50.69	Professional	TC	$18.52	$26.67	$50.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.92 / $359.91 / $359.91	Facility		$67.92	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $19.63 / $100.00 / $100.00	Facility	26	$19.63	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $51.52 / $133.13 / $133.13	Facility	TC	$51.52	$133.13	$133.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $206.66 / $206.66 / $270.00	Professional		$206.66	$206.66	$270.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.70 / $67.70 / $67.70	Professional	26	$67.70	$67.70	$67.70
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $157.81 / $157.81 / $207.68	Professional	TC	$157.81	$157.81	$207.68
United Facility/Professional Facility Modifier Low / Median / High Price $35.76 / $95.77 / $179.57	Facility		$35.76	$95.77	$179.57
United Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $34.36 / $60.57	Professional		$27.19	$34.36	$60.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $9.86 / $16.37	Professional	26	$7.93	$9.86	$16.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.51 / $24.54 / $44.02	Professional	TC	$18.51	$24.54	$44.02