Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $230.95 / $493.23	Facility		$78.17	$230.95	$493.23
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.01 / $40.57 / $49.26	Facility	26	$28.01	$40.57	$49.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $89.42 / $305.60	Professional		$71.20	$89.42	$305.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.01 / $34.15 / $118.69	Professional	26	$28.01	$34.15	$118.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $102.89 / $493.03 / $662.48	Professional	50	$102.89	$493.03	$662.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.20 / $53.93 / $98.54	Professional	TC	$43.20	$53.93	$98.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $91.00 / $149.40	Professional		$63.52	$91.00	$149.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.96 / $32.86 / $60.19	Professional	26	$23.96	$32.86	$60.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $90.40 / $136.50 / $274.20	Professional	50	$90.40	$136.50	$274.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $68.09 / $68.09 / $68.09	Professional	TC	$68.09	$68.09	$68.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $113.11 / $172.52	Professional		$63.38	$113.11	$172.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.66 / $45.76 / $69.52	Professional	26	$28.66	$45.76	$69.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.64 / $67.52 / $105.53	Professional	TC	$42.64	$67.52	$105.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $147.49 / $208.23	Facility		$88.86	$147.49	$208.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.03 / $37.03 / $37.03	Facility	26	$37.03	$37.03	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $102.44 / $174.12	Professional		$70.04	$102.44	$174.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.72 / $41.93 / $70.77	Professional	26	$27.72	$41.93	$70.77
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $129.22 / $129.22 / $129.22	Professional	50	$129.22	$129.22	$129.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.57 / $62.06 / $103.50	Professional	TC	$42.57	$62.06	$103.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.03 / $539.87 / $539.87	Facility		$175.03	$539.87	$539.87
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $76.50 / $158.97 / $158.97	Facility	26	$76.50	$158.97	$158.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $546.22 / $546.22 / $707.78	Professional		$546.22	$546.22	$707.78
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $203.94 / $203.94 / $262.50	Professional	26	$203.94	$203.94	$262.50
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $342.28 / $342.28 / $445.28	Professional	TC	$342.28	$342.28	$445.28
United Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $95.77 / $179.57	Facility		$73.33	$95.77	$179.57
United Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $98.32 / $169.67	Professional		$78.59	$98.32	$169.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.19 / $39.83 / $66.54	Professional	26	$31.19	$39.83	$66.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.40 / $58.49 / $99.68	Professional	TC	$47.40	$58.49	$99.68