Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.03 / $47.03 / $131.75	Facility		$47.03	$47.03	$131.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $34.01 / $85.00	Professional		$28.66	$34.01	$85.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $11.12 / $68.31	Professional	26	$8.22	$11.12	$68.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.44 / $22.52 / $51.61	Professional	TC	$20.44	$22.52	$51.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $19.75 / $42.77	Professional		$18.78	$19.75	$42.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $5.17 / $20.38	Professional	26	$5.09	$5.17	$20.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $18.23 / $18.23	Professional	TC	$18.23	$18.23	$18.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $66.09 / $90.24	Professional		$33.24	$66.09	$90.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $15.04 / $21.12	Professional	26	$9.89	$15.04	$21.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.40 / $45.85 / $73.70	Professional	TC	$22.40	$45.85	$73.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.13 / $30.05 / $94.66	Facility		$28.13	$30.05	$94.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.11 / $5.46 / $16.96	Facility	26	$5.11	$5.46	$16.96
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.04 / $24.61 / $77.70	Facility	TC	$23.04	$24.61	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $31.26 / $95.45	Professional		$18.77	$31.26	$95.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.24 / $9.65 / $22.92	Professional	26	$5.24	$9.65	$22.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.55 / $21.77 / $59.00	Professional	TC	$13.55	$21.77	$59.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.36 / $208.80 / $228.14	Facility		$85.36	$208.80	$228.14
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $25.85 / $100.00 / $100.00	Facility	26	$25.85	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $60.61 / $164.16 / $173.52	Facility	TC	$60.61	$164.16	$173.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $359.03 / $360.92 / $370.81	Professional		$359.03	$360.92	$370.81
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $191.54 / $191.54 / $191.54	Professional	26	$191.54	$191.54	$191.54
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $268.14 / $271.66 / $275.49	Professional	TC	$268.14	$271.66	$275.49
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $40.53 / $93.77	Professional		$22.85	$40.53	$93.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.43 / $10.56 / $20.34	Professional	26	$6.43	$10.56	$20.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $29.81 / $65.89	Professional	TC	$16.03	$29.81	$65.89