Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.51 / $171.30 / $531.65	Facility		$84.51	$171.30	$531.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.15 / $13.15 / $84.89	Facility	26	$13.15	$13.15	$84.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $90.35 / $158.03	Professional		$80.72	$90.35	$158.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $14.96 / $32.29	Professional	26	$13.15	$14.96	$32.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.40 / $76.31 / $124.01	Professional	TC	$67.40	$76.31	$124.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $134.12 / $134.12	Professional		$134.12	$134.12	$134.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $25.29 / $35.58	Professional	26	$11.46	$25.29	$35.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $121.38 / $222.11	Professional		$73.88	$121.38	$222.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $24.15 / $39.11	Professional	26	$14.51	$24.15	$39.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.06 / $99.59 / $188.67	Professional	TC	$62.06	$99.59	$188.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.68 / $214.44 / $332.30	Facility		$148.68	$214.44	$332.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.75 / $17.75 / $19.39	Facility	26	$17.75	$17.75	$19.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $112.91 / $204.23	Professional		$76.25	$112.91	$204.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $22.19 / $36.22	Professional	26	$13.64	$22.19	$36.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.88 / $90.49 / $174.16	Professional	TC	$61.88	$90.49	$174.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $216.57 / $548.44 / $548.44	Facility		$216.57	$548.44	$548.44
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $53.99 / $100.00 / $100.00	Facility	26	$53.99	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $687.89 / $687.89 / $854.25	Professional		$687.89	$687.89	$854.25
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	26	$150.00	$150.00	$150.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $591.79 / $591.79 / $731.03	Professional	TC	$591.79	$591.79	$731.03
United Facility/Professional Facility Modifier Low / Median / High Price $140.90 / $176.58 / $483.44	Facility		$140.90	$176.58	$483.44
United Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $103.96 / $187.89	Professional		$79.11	$103.96	$187.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.44 / $19.18 / $33.20	Professional	26	$15.44	$19.18	$33.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.73 / $88.40 / $178.42	Professional	TC	$63.73	$88.40	$178.42