Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $106.33 / $399.60	Facility		$31.40	$106.33	$399.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.36 / $10.30 / $11.89	Facility	26	$6.36	$10.30	$11.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.39 / $45.01 / $511.44	Facility	TC	$16.39	$45.01	$511.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $27.42 / $62.22	Professional		$21.82	$27.42	$62.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $7.12 / $21.82	Professional	26	$6.36	$7.12	$21.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $22.50 / $140.36 / $340.00	Professional	50	$22.50	$140.36	$340.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.86 / $12.03 / $28.19	Professional	52	$10.86	$12.03	$28.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $19.22 / $33.38	Professional	TC	$16.39	$19.22	$33.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $31.81 / $42.99	Professional		$19.30	$31.81	$42.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.44 / $7.89 / $13.59	Professional	26	$5.44	$7.89	$13.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $25.70 / $46.95 / $63.59	Professional	50	$25.70	$46.95	$63.59
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $16.12 / $16.12 / $16.12	Professional	52	$16.12	$16.12	$16.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.52 / $22.59 / $33.63	Professional	TC	$14.52	$22.59	$33.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $36.86 / $59.81	Professional		$19.89	$36.86	$59.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $11.68 / $18.85	Professional	26	$7.01	$11.68	$18.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.84 / $26.06 / $43.10	Professional	TC	$15.84	$26.06	$43.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.25 / $55.51 / $88.86	Facility		$40.25	$55.51	$88.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $8.51 / $9.10	Facility	26	$8.51	$8.51	$9.10
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $20.88 / $20.88 / $23.86	Facility	TC	$20.88	$20.88	$23.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $33.76 / $58.42	Professional		$22.89	$33.76	$58.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $10.56 / $17.01	Professional	26	$6.44	$10.56	$17.01
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.76 / $39.76 / $39.76	Professional	50	$39.76	$39.76	$39.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.26 / $24.36 / $44.19	Professional	TC	$16.26	$24.36	$44.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.10 / $359.91 / $359.91	Facility		$60.10	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.09 / $100.00 / $100.00	Facility	26	$22.09	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $44.39 / $114.81 / $114.81	Facility	TC	$44.39	$114.81	$114.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.63 / $180.63 / $238.88	Professional		$180.63	$180.63	$238.88
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 $154.00 / $154.00 / $179.40	Professional	TC	$154.00	$154.00	$179.40
United Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $36.00	Facility		$20.00	$20.00	$36.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $30.68 / $52.65	Professional		$25.57	$30.68	$52.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $9.10 / $15.88	Professional	26	$7.38	$9.10	$15.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $21.58 / $40.42	Professional	TC	$17.98	$21.58	$40.42