Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $378.00 / $737.45	Facility		$49.53	$378.00	$737.45
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.07 / $45.86 / $48.77	Facility	26	$26.07	$45.86	$48.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $67.22 / $243.40	Professional		$47.35	$67.22	$243.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.08 / $30.93 / $114.00	Professional	26	$26.08	$30.93	$114.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.27 / $29.68 / $170.38	Professional	TC	$21.27	$29.68	$170.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $64.84 / $89.66	Professional		$42.16	$64.84	$89.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.40 / $35.60 / $84.00	Professional	26	$22.40	$35.60	$84.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $85.91 / $266.64	Professional		$43.03	$85.91	$266.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.43 / $44.09 / $66.05	Professional	26	$26.43	$44.09	$66.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.79 / $42.07 / $218.78	Professional	TC	$21.79	$42.07	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $372.92 / $585.37	Facility		$65.84	$372.92	$585.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.51 / $34.51 / $34.51	Facility	26	$34.51	$34.51	$34.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $84.66 / $208.40	Professional		$48.82	$84.66	$208.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.76 / $40.47 / $68.29	Professional	26	$26.76	$40.47	$68.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.71 / $38.74 / $167.40	Professional	TC	$22.71	$38.74	$167.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.22 / $889.98 / $889.98	Facility		$269.22	$889.98	$889.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $98.17 / $261.98 / $261.98	Facility	26	$98.17	$261.98	$261.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $947.00 / $947.00 / $953.33	Professional		$947.00	$947.00	$953.33
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $368.00 / $368.00 / $368.00	Professional	26	$368.00	$368.00	$368.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $758.00 / $758.00 / $758.00	Professional	TC	$758.00	$758.00	$758.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $81.56 / $210.57	Professional		$53.10	$81.56	$210.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.23 / $37.45 / $62.40	Professional	26	$29.23	$37.45	$62.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.16 / $31.68 / $170.80	Professional	TC	$23.16	$31.68	$170.80