Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $49.77 / $141.78	Professional		$46.66	$49.77	$141.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $24.51 / $84.13	Professional	26	$20.14	$24.51	$84.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.51 / $28.52 / $61.55	Professional	TC	$26.51	$28.52	$61.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $30.25 / $42.79	Professional		$30.13	$30.25	$42.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $12.61 / $49.91	Professional	26	$12.48	$12.61	$49.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.77 / $17.77 / $24.55	Professional	TC	$17.77	$17.77	$24.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $110.94 / $161.28	Professional		$54.20	$110.94	$161.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.83 / $48.79 / $87.13	Professional	26	$23.83	$48.79	$87.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.36 / $55.48 / $87.42	Professional	TC	$30.36	$55.48	$87.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.85 / $55.40 / $173.88	Facility		$51.85	$55.40	$173.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.07 / $28.92 / $97.18	Facility	26	$27.07	$28.92	$97.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.78 / $26.47 / $76.69	Facility	TC	$24.78	$26.47	$76.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $55.65 / $182.37	Professional		$31.27	$55.65	$182.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $27.84 / $87.70	Professional	26	$12.84	$27.84	$87.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $26.31 / $71.33	Professional	TC	$17.67	$26.31	$71.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.87 / $379.47 / $379.47	Facility		$140.87	$379.47	$379.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $63.72 / $234.18 / $234.18	Facility	26	$63.72	$234.18	$234.18
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $130.88 / $186.22 / $224.87	Facility	TC	$130.88	$186.22	$224.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $641.00 / $645.55 / $645.55	Professional		$641.00	$645.55	$645.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $513.00 / $513.00 / $513.00	Professional	26	$513.00	$513.00	$513.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $312.17 / $321.52 / $349.13	Professional	TC	$312.17	$321.52	$349.13
United Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $63.76 / $143.78	Professional		$37.99	$63.76	$143.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $33.50 / $75.84	Professional	26	$16.71	$33.50	$75.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $37.11 / $85.30	Professional	TC	$21.28	$37.11	$85.30