Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.69 / $297.70 / $678.03	Facility		$92.69	$297.70	$678.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.19 / $39.22 / $42.55	Facility	26	$24.19	$39.22	$42.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $49.43 / $123.92 / $336.21	Facility	TC	$49.43	$123.92	$336.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $100.64 / $301.24	Professional		$73.63	$100.64	$301.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.19 / $29.64 / $102.40	Professional	26	$24.19	$29.64	$102.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.43 / $67.12 / $111.00	Professional	TC	$49.43	$67.12	$111.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $84.57 / $153.36	Professional		$52.28	$84.57	$153.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.56 / $25.62 / $51.95	Professional	26	$20.56	$25.62	$51.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $40.95 / $51.80 / $98.11	Professional	TC	$40.95	$51.80	$98.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $123.63 / $195.68	Professional		$68.55	$123.63	$195.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.88 / $39.21 / $60.08	Professional	26	$23.88	$39.21	$60.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.02 / $84.35 / $132.82	Professional	TC	$46.02	$84.35	$132.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.45 / $167.95 / $237.08	Facility		$121.45	$167.95	$237.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.67 / $31.67 / $31.67	Facility	26	$31.67	$31.67	$31.67
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $66.73 / $66.73 / $66.73	Facility	TC	$66.73	$66.73	$66.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $107.08 / $186.71	Professional		$72.95	$107.08	$186.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.35 / $36.11 / $59.75	Professional	26	$24.35	$36.11	$59.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.24 / $72.70 / $132.34	Professional	TC	$49.24	$72.70	$132.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $188.97 / $539.87 / $539.87	Facility		$188.97	$539.87	$539.87
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $136.18 / $136.18	Facility	26	$85.90	$136.18	$136.18
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $118.69 / $323.95 / $323.95	Facility	TC	$118.69	$323.95	$323.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $568.24 / $568.24 / $725.78	Professional		$568.24	$568.24	$725.78
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $227.85 / $227.85 / $227.85	Professional	26	$227.85	$227.85	$227.85
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $390.02 / $390.02 / $501.90	Professional	TC	$390.02	$390.02	$501.90
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 $83.48 / $101.80 / $182.71	Professional		$83.48	$101.80	$182.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $33.28 / $59.90	Professional	26	$26.96	$33.28	$59.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.19 / $67.43 / $118.30	Professional	TC	$56.19	$67.43	$118.30