Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $104.82 / $115.74	Facility		$9.42	$104.82	$115.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.57 / $6.87 / $41.11	Facility	26	$6.57	$6.87	$41.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $13.16 / $33.53	Professional		$9.42	$13.16	$33.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $8.25 / $14.69	Professional	26	$6.57	$8.25	$14.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $11.36	Professional	50	$11.36	$11.36	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.86 / $3.89 / $6.07	Professional	TC	$2.86	$3.89	$6.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $10.10 / $20.53	Professional		$10.10	$10.10	$20.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $16.21 / $26.97	Professional		$8.25	$16.21	$26.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $11.49 / $18.29	Professional	26	$6.64	$11.49	$18.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.26 / $5.54 / $9.14	Professional	TC	$3.26	$5.54	$9.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $11.95 / $24.99	Facility		$9.33	$11.95	$24.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $14.71 / $26.75	Professional		$9.72	$14.71	$26.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $10.65 / $18.51	Professional	26	$6.65	$10.65	$18.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.69 / $4.37 / $9.11	Professional	TC	$2.69	$4.37	$9.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $70.00 / $109.11	Facility		$24.25	$70.00	$109.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $17.60 / $100.00 / $100.00	Facility	26	$17.60	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.44 / $1,428.44 / $1,428.44	Professional		$1,428.44	$1,428.44	$1,428.44
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,274.28 / $1,274.28 / $1,274.28	Professional	26	$1,274.28	$1,274.28	$1,274.28
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $988.10 / $988.10 / $988.10	Professional	TC	$988.10	$988.10	$988.10
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $13.50 / $24.32	Professional		$11.04	$13.50	$24.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.47 / $9.40 / $16.48	Professional	26	$7.47	$9.40	$16.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.18 / $4.09 / $7.94	Professional	TC	$3.18	$4.09	$7.94