Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.26 / $284.88 / $734.92	Facility		$96.26	$284.88	$734.92
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.10 / $48.80 / $52.93	Facility	26	$30.10	$48.80	$52.93
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $63.17 / $156.24 / $335.44	Facility	TC	$63.17	$156.24	$335.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $124.15 / $519.69	Professional		$91.18	$124.15	$519.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.10 / $36.43 / $124.35	Professional	26	$30.10	$36.43	$124.35
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $44.10 / $48.22 / $68.84	Professional	52	$44.10	$48.22	$68.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.08 / $82.68 / $137.19	Professional	TC	$61.08	$82.68	$137.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $92.40 / $189.20	Professional		$64.89	$92.40	$189.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.74 / $35.40 / $64.56	Professional	26	$25.74	$35.40	$64.56
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $50.60 / $89.80 / $121.60	Professional	TC	$50.60	$89.80	$121.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $154.11 / $244.71	Professional		$85.88	$154.11	$244.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.29 / $49.16 / $75.03	Professional	26	$30.29	$49.16	$75.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.27 / $105.30 / $164.41	Professional	TC	$60.27	$105.30	$164.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.05 / $207.01 / $297.27	Facility		$141.05	$207.01	$297.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.13 / $40.13 / $40.13	Facility	26	$40.13	$40.13	$40.13
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $82.40 / $82.40 / $82.40	Facility	TC	$82.40	$82.40	$82.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $135.29 / $229.13	Professional		$90.69	$135.29	$229.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.29 / $45.24 / $75.42	Professional	26	$30.29	$45.24	$75.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.69 / $91.75 / $160.40	Professional	TC	$60.69	$91.75	$160.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.42 / $570.62 / $570.62	Facility		$245.42	$570.62	$570.62
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $170.43 / $170.43	Facility	26	$100.00	$170.43	$170.43
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $155.00 / $400.24 / $400.24	Facility	TC	$155.00	$400.24	$400.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $704.47 / $704.47 / $902.70	Professional		$704.47	$704.47	$902.70
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $290.60 / $290.60 / $290.60	Professional	26	$290.60	$290.60	$290.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $483.33 / $483.33 / $621.90	Professional	TC	$483.33	$483.33	$621.90
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 $103.62 / $126.55 / $215.65	Professional		$103.62	$126.55	$215.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.78 / $43.20 / $70.88	Professional	26	$33.78	$43.20	$70.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.45 / $85.36 / $159.40	Professional	TC	$69.45	$85.36	$159.40