Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.29 / $415.38 / $912.28	Facility		$96.29	$415.38	$912.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.03 / $53.56 / $58.10	Facility	26	$33.03	$53.56	$58.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $133.30 / $467.25	Professional		$98.72	$133.30	$467.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.04 / $40.44 / $144.47	Professional	26	$33.04	$40.44	$144.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.68 / $87.86 / $154.25	Professional	TC	$65.68	$87.86	$154.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $86.97 / $176.30	Professional		$69.58	$86.97	$176.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $35.31 / $71.17	Professional	26	$28.25	$35.31	$71.17
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.61 / $80.41 / $130.34	Professional	TC	$53.61	$80.41	$130.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $166.86 / $260.41	Professional		$91.23	$166.86	$260.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.90 / $53.96 / $82.28	Professional	26	$32.90	$53.96	$82.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.48 / $111.87 / $176.53	Professional	TC	$64.48	$111.87	$176.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.33 / $220.03 / $306.89	Facility		$142.33	$220.03	$306.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.33 / $143.71 / $249.30	Professional		$97.33	$143.71	$249.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.24 / $49.61 / $82.59	Professional	26	$33.24	$49.61	$82.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.19 / $97.64 / $168.10	Professional	TC	$64.19	$97.64	$168.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $252.78 / $611.17 / $611.17	Facility		$252.78	$611.17	$611.17
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $187.10 / $187.10	Facility	26	$100.00	$187.10	$187.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $760.68 / $760.68 / $966.00	Professional		$760.68	$760.68	$966.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $303.79 / $303.79 / $307.35	Professional	26	$303.79	$303.79	$307.35
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $518.02 / $518.02 / $658.65	Professional	TC	$518.02	$518.02	$658.65
United Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $137.40 / $231.30	Professional		$114.18	$137.40	$231.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.68 / $47.27 / $78.58	Professional	26	$37.68	$47.27	$78.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.64 / $90.83 / $157.15	Professional	TC	$74.64	$90.83	$157.15