Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $190.55 / $380.19	Facility		$51.29	$190.55	$380.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $12.02 / $74.13	Facility	26	$11.48	$12.02	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $74.13	Professional		$28.18	$38.02	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.62 / $67.61	Professional	26	$10.96	$18.62	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $44.67	Professional	TC	$16.98	$22.91	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $63.10	Professional		$26.92	$33.11	$63.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.49 / $24.55	Professional	26	$9.33	$13.49	$24.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $69.18	Professional		$19.05	$37.15	$69.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.42 / $32.36	Professional	26	$12.88	$20.42	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $26.92 / $47.86	Professional	TC	$16.22	$26.92	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $56.23 / $77.62	Facility		$46.77	$56.23	$77.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.31 / $15.49 / $21.88	Facility	26	$3.31	$15.49	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $69.18	Professional		$29.51	$41.69	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.20 / $30.90	Professional	26	$12.02	$18.20	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.44 / $43.65	Professional	TC	$15.85	$23.44	$43.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $537.03	Facility		$251.19	$251.19	$537.03
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $323.59	Professional		$288.40	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $204.17	Professional	26	$107.15	$107.15	$204.17
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	TC	$229.09	$229.09	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $64.57	Professional		$31.62	$38.02	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.98 / $27.54	Professional	26	$12.88	$16.98	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $22.39 / $38.02	Professional	TC	$17.38	$22.39	$38.02