Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.10 / $338.83 / $569.03	Facility		$97.10	$338.83	$569.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.28 / $37.74 / $40.95	Facility	26	$23.28	$37.74	$40.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $119.81 / $374.25	Professional		$93.84	$119.81	$374.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.28 / $28.08 / $97.33	Professional	26	$23.28	$28.08	$97.33
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.40 / $49.97 / $70.72	Professional	52	$45.40	$49.97	$70.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.55 / $88.54 / $155.47	Professional	TC	$70.55	$88.54	$155.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $96.38 / $166.06	Professional		$65.54	$96.38	$166.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $27.20 / $61.63	Professional	26	$19.78	$27.20	$61.63
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $57.32 / $60.90 / $139.63	Professional	TC	$57.32	$60.90	$139.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $140.28 / $227.80	Professional		$85.26	$140.28	$227.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.98 / $36.82 / $57.16	Professional	26	$22.98	$36.82	$57.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.62 / $108.71 / $175.64	Professional	TC	$69.62	$108.71	$175.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.33 / $235.69 / $313.68	Facility		$142.33	$235.69	$313.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.47 / $30.47 / $30.47	Facility	26	$30.47	$30.47	$30.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $124.20 / $218.24	Professional		$88.83	$124.20	$218.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.26 / $34.46 / $57.46	Professional	26	$23.26	$34.46	$57.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.79 / $92.44 / $172.49	Professional	TC	$63.79	$92.44	$172.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $232.99 / $584.77 / $584.77	Facility		$232.99	$584.77	$584.77
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $83.44 / $131.34 / $131.34	Facility	26	$83.44	$131.34	$131.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $726.73 / $726.73 / $920.03	Professional		$726.73	$726.73	$920.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $255.92 / $255.92 / $255.92	Professional	26	$255.92	$255.92	$255.92
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $554.94 / $554.94 / $703.88	Professional	TC	$554.94	$554.94	$703.88
United Facility/Professional Facility Modifier Low / Median / High Price $77.02 / $134.50 / $252.18	Facility		$77.02	$134.50	$252.18
United Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $128.86 / $214.98	Professional		$95.57	$128.86	$214.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.98 / $31.76 / $54.83	Professional	26	$25.98	$31.76	$54.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.97 / $95.78 / $160.44	Professional	TC	$71.97	$95.78	$160.44