Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $251.19 / $416.87	Facility		$138.04	$251.19	$416.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $33.11 / $141.25	Facility	26	$22.91	$33.11	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $245.47	Professional		$77.62	$117.49	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.90 / $75.86	Professional	26	$21.88	$30.90	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $79.43 / $144.54	Professional	TC	$54.95	$79.43	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $181.97	Professional		$79.43	$102.33	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.12 / $60.26	Professional	26	$18.62	$25.12	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $186.21	Professional		$67.61	$75.86	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $35.48 / $64.57	Professional	26	$25.70	$35.48	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $83.18 / $177.83	Professional	TC	$53.70	$83.18	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $131.83 / $186.21	Facility		$109.65	$131.83	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $199.53	Professional		$72.44	$120.23	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $35.48 / $53.70	Professional	26	$23.99	$35.48	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $83.18 / $144.54	Professional	TC	$50.12	$83.18	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $954.99	Professional		$758.58	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $213.80 / $213.80	Professional	26	$169.82	$213.80	$213.80
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $588.84 / $741.31 / $741.31	Professional	TC	$588.84	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $177.83	Professional		$74.13	$107.15	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $32.36 / $51.29	Professional	26	$25.70	$32.36	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $77.62 / $128.82	Professional	TC	$46.77	$77.62	$128.82