Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $214.62 / $457.97	Facility		$79.69	$214.62	$457.97
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $7.79 / $12.67	Facility	26	$7.20	$7.79	$12.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.57 / $207.58 / $424.68	Facility	TC	$25.57	$207.58	$424.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $33.15 / $80.70	Professional		$23.25	$33.15	$80.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $8.35 / $26.05	Professional	26	$7.21	$8.35	$26.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.18 / $104.36 / $170.57	Professional	50	$60.18	$104.36	$170.57
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.97 / $15.45 / $21.97	Professional	52	$13.97	$15.45	$21.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $24.87 / $48.42	Professional	TC	$21.94	$24.87	$48.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $41.52 / $55.03	Professional		$24.64	$41.52	$55.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $8.94 / $15.73	Professional	26	$6.16	$8.94	$15.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $47.91 / $47.91 / $47.91	Professional	50	$47.91	$47.91	$47.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $34.09 / $36.35	Professional	TC	$19.39	$34.09	$36.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $45.00 / $77.95	Professional		$26.21	$45.00	$77.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $12.94 / $20.62	Professional	26	$7.96	$12.94	$20.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $32.36 / $58.03	Professional	TC	$20.93	$32.36	$58.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $70.67 / $105.48	Facility		$50.94	$70.67	$105.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $10.31	Facility	26	$9.61	$9.61	$10.31
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.72 / $26.72 / $31.68	Facility	TC	$26.72	$26.72	$31.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $40.96 / $73.15	Professional		$28.19	$40.96	$73.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $11.92 / $19.27	Professional	26	$7.30	$11.92	$19.27
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 $20.94 / $30.10 / $56.56	Professional	TC	$20.94	$30.10	$56.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $359.91 / $359.91	Facility		$77.20	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $100.00 / $100.00	Facility	26	$24.54	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $59.34 / $153.33 / $153.33	Facility	TC	$59.34	$153.33	$153.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $237.03 / $237.03 / $306.52	Professional		$237.03	$237.03	$306.52
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $71.00 / $71.00 / $71.00	Professional	26	$71.00	$71.00	$71.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $183.85 / $183.85 / $238.80	Professional	TC	$183.85	$183.85	$238.80
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 $29.49 / $37.85 / $67.54	Professional		$29.49	$37.85	$67.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $9.92 / $18.04	Professional	26	$8.22	$9.92	$18.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $27.05 / $47.80	Professional	TC	$19.94	$27.05	$47.80