Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $129.88 / $335.44	Facility		$40.32	$129.88	$335.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.81 / $48.92 / $178.55	Facility	26	$25.81	$48.92	$178.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $55.14 / $112.28	Professional		$40.32	$55.14	$112.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.81 / $35.43 / $76.88	Professional	26	$25.81	$35.43	$76.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.51 / $94.51 / $146.61	Professional	50	$94.51	$94.51	$146.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.50 / $19.70 / $44.81	Professional	TC	$14.50	$19.70	$44.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.55 / $83.55 / $83.55	Professional	26	$83.55	$83.55	$83.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $96.94 / $163.18	Professional		$39.39	$96.94	$163.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.26 / $58.61 / $96.14	Professional	26	$29.26	$58.61	$96.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.57 / $40.51 / $67.03	Professional	TC	$16.57	$40.51	$67.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $72.56 / $151.72	Facility		$47.17	$72.56	$151.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $34.29 / $34.29	Facility	26	$34.29	$34.29	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $85.96 / $159.82	Professional		$42.27	$85.96	$159.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.48 / $46.13 / $90.12	Professional	26	$26.48	$46.13	$90.12
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $90.51 / $90.51 / $90.51	Professional	50	$90.51	$90.51	$90.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.95 / $34.68 / $72.45	Professional	TC	$14.95	$34.68	$72.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $144.40 / $338.68 / $338.68	Facility		$144.40	$338.68	$338.68
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $93.26 / $198.78 / $198.78	Facility	26	$93.26	$198.78	$198.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $659.45 / $679.24 / $679.24	Professional		$659.45	$679.24	$679.24
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $335.18 / $335.18 / $335.18	Professional	26	$335.18	$335.18	$335.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $404.98 / $417.13 / $417.13	Professional	TC	$404.98	$417.13	$417.13
United Facility/Professional Facility Modifier Low / Median / High Price $77.02 / $154.10 / $252.18	Facility		$77.02	$154.10	$252.18
United Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $87.73 / $135.72	Professional		$49.92	$87.73	$135.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.91 / $46.13 / $81.05	Professional	26	$28.91	$46.13	$81.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.29 / $32.36 / $60.42	Professional	TC	$19.29	$32.36	$60.42