Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $165.96 / $371.54	Facility		$48.98	$165.96	$371.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $10.47 / $46.77	Facility	26	$7.59	$10.47	$46.77
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.22 / $24.55 / $245.47	Facility	TC	$16.22	$24.55	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $87.10	Professional		$22.91	$40.74	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.47 / $37.15	Professional	26	$7.08	$10.47	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $24.55 / $51.29	Professional	TC	$15.85	$24.55	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $44.67	Professional		$19.05	$24.55	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.32 / $16.22	Professional	26	$6.46	$8.32	$16.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $19.50 / $27.54	Professional	TC	$14.45	$19.50	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $60.26	Professional		$16.60	$29.51	$60.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.80 / $21.88	Professional	26	$8.51	$13.80	$21.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.30 / $46.77	Professional	TC	$16.98	$26.30	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $56.23 / $154.88	Facility		$31.62	$56.23	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $10.72 / $10.72	Facility	26	$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $20.89 / $20.89	Facility	TC	$20.89	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $63.10	Professional		$23.99	$33.88	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.75 / $20.42	Professional	26	$7.76	$11.75	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $41.69	Professional	TC	$16.22	$22.91	$41.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $363.08	Facility		$194.98	$194.98	$363.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	TC	$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $251.19	Professional		$194.98	$251.19	$251.19
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $70.79 / $70.79	Professional	26	$54.95	$70.79	$70.79
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $181.97 / $181.97	Professional	TC	$138.04	$181.97	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $95.50 / $95.50	Facility		$50.12	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $54.95	Professional		$25.12	$30.20	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.23 / $17.78	Professional	26	$8.51	$10.23	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $20.42 / $36.31	Professional	TC	$16.22	$20.42	$36.31