Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $208.93 / $478.63	Facility		$77.62	$208.93	$478.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $38.90 / $173.78	Facility	26	$28.18	$38.90	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $302.00	Professional		$52.48	$95.50	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $53.70 / $147.91	Professional	26	$28.18	$53.70	$147.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $147.91 / $660.69	Professional	50	$48.98	$147.91	$660.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $56.23 / $131.83	Professional	TC	$42.66	$56.23	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $147.91	Professional		$66.07	$85.11	$147.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $32.36 / $61.66	Professional	26	$23.99	$32.36	$61.66
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $117.49 / $194.98	Professional	50	$97.72	$117.49	$194.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $48.98 / $95.50	Professional	TC	$37.15	$48.98	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $173.78	Professional		$48.98	$97.72	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $47.86 / $77.62	Professional	26	$30.90	$47.86	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $72.44 / $117.49	Professional	TC	$46.77	$72.44	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $138.04 / $229.09	Facility		$74.13	$138.04	$229.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $37.15 / $52.48	Facility	26	$7.94	$37.15	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $169.82	Professional		$72.44	$102.33	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $41.69 / $70.79	Professional	26	$28.18	$41.69	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $60.26 / $102.33	Professional	TC	$43.65	$60.26	$102.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $707.95	Professional		$549.54	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $204.17 / $263.03 / $263.03	Professional	26	$204.17	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $446.68 / $446.68	Professional	TC	$338.84	$446.68	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $95.50 / $95.50	Facility		$74.13	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $158.49	Professional		$77.62	$97.72	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $39.81 / $64.57	Professional	26	$30.20	$39.81	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $58.88 / $97.72	Professional	TC	$46.77	$58.88	$97.72