Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $181.35 / $440.31	Facility		$48.17	$181.35	$440.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $11.23 / $12.96	Facility	26	$6.92	$11.23	$12.96
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.67 / $217.78 / $500.50	Facility	TC	$29.67	$217.78	$500.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $32.11 / $78.92	Professional		$22.63	$32.11	$78.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $8.13 / $27.12	Professional	26	$6.93	$8.13	$27.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.51 / $97.73 / $198.00	Professional	50	$16.51	$97.73	$198.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.07 / $14.46 / $20.54	Professional	52	$13.07	$14.46	$20.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.46 / $23.99 / $44.93	Professional	TC	$20.46	$23.99	$44.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $38.88 / $47.68	Professional		$23.93	$38.88	$47.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.93 / $8.60 / $14.81	Professional	26	$5.93	$8.60	$14.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $38.02 / $66.81 / $71.52	Professional	50	$38.02	$66.81	$71.52
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $31.33 / $33.74	Professional	TC	$17.98	$31.33	$33.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $43.74 / $72.00	Professional		$24.15	$43.74	$72.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $12.67 / $20.62	Professional	26	$7.64	$12.67	$20.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $30.79 / $50.98	Professional	TC	$18.23	$30.79	$50.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.94 / $65.69 / $98.00	Facility		$46.94	$65.69	$98.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.92	Facility	26	$9.25	$9.25	$9.92
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.78 / $24.78 / $29.46	Facility	TC	$24.78	$24.78	$29.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $38.70 / $68.41	Professional		$26.41	$38.70	$68.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $11.48 / $18.55	Professional	26	$7.02	$11.48	$18.55
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.03 / $46.03 / $46.03	Professional	50	$46.03	$46.03	$46.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $28.20 / $52.44	Professional	TC	$19.69	$28.20	$52.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $359.91 / $359.91	Facility		$72.23	$359.91	$359.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $27.00 / $100.00 / $100.00	Facility	26	$27.00	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $55.06 / $142.31 / $142.31	Facility	TC	$55.06	$142.31	$142.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $221.82 / $221.82 / $286.73	Professional		$221.82	$221.82	$286.73
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 $170.86 / $170.86 / $221.85	Professional	TC	$170.86	$170.86	$221.85
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 $29.20 / $36.06 / $62.99	Professional		$29.20	$36.06	$62.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $9.92 / $17.19	Professional	26	$8.06	$9.92	$17.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $26.24 / $52.80	Professional	TC	$19.94	$26.24	$52.80