Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $17.45 / $26.27	Professional		$14.71	$17.45	$26.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $11.13 / $42.98	Professional	26	$8.98	$11.13	$42.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.73 / $6.11 / $9.34	Professional	TC	$5.73	$6.11	$9.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $10.07 / $13.74	Professional		$9.13	$10.07	$13.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.56 / $5.63 / $22.25	Professional	26	$5.56	$5.63	$22.25
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $4.12 / $4.12 / $4.28	Professional	TC	$4.12	$4.12	$4.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $26.18 / $37.25	Professional		$17.80	$26.18	$37.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $16.57 / $24.73	Professional	26	$10.78	$16.57	$24.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.92 / $8.89 / $14.37	Professional	TC	$6.92	$8.89	$14.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $8.82 / $34.44	Facility		$8.26	$8.82	$34.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $6.01 / $21.16	Facility	26	$5.62	$6.01	$21.16
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $2.62 / $2.80 / $13.30	Facility	TC	$2.62	$2.80	$13.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $15.27 / $34.85	Professional		$9.40	$15.27	$34.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.58 / $10.51 / $24.95	Professional	26	$5.58	$10.51	$24.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.58 / $4.76 / $13.53	Professional	TC	$3.58	$4.76	$13.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $100.00 / $104.74	Facility		$43.69	$100.00	$104.74
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $28.22 / $100.00 / $100.00	Facility	26	$28.22	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $15.62 / $100.00 / $100.00	Facility	TC	$15.62	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $130.47 / $169.05	Professional		$130.47	$130.47	$169.05
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.76 / $95.76 / $97.13	Professional	26	$95.76	$95.76	$97.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $95.76 / $95.76 / $95.76	Professional	TC	$95.76	$95.76	$95.76
United Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $17.66 / $39.46	Professional		$11.35	$17.66	$39.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $10.51 / $22.24	Professional	26	$7.02	$10.51	$22.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.33 / $6.19 / $12.47	Professional	TC	$4.33	$6.19	$12.47