Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $101.94 / $221.31	Professional		$76.95	$101.94	$221.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $26.22 / $143.26	Professional	26	$19.39	$26.22	$143.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.55 / $68.30 / $161.10	Professional	TC	$57.55	$68.30	$161.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $54.11 / $165.95	Professional		$48.08	$54.11	$165.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $12.61 / $48.62	Professional	26	$12.00	$12.61	$48.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.99 / $41.99 / $46.40	Professional	TC	$41.99	$41.99	$46.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $133.08 / $175.92	Professional		$89.26	$133.08	$175.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.22 / $35.69 / $50.39	Professional	26	$23.22	$35.69	$50.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.73 / $96.67 / $125.55	Professional	TC	$63.73	$96.67	$125.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $42.81 / $180.72	Facility		$40.07	$42.81	$180.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.66 / $13.53 / $45.57	Facility	26	$12.66	$13.53	$45.57
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.42 / $29.29 / $135.15	Facility	TC	$27.42	$29.29	$135.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $72.73 / $168.88	Professional		$45.22	$72.73	$168.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.36 / $22.36 / $52.00	Professional	26	$12.36	$22.36	$52.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.04 / $47.78 / $123.91	Professional	TC	$32.04	$47.78	$123.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.16 / $507.12 / $599.64	Facility		$223.16	$507.12	$599.64
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $116.58 / $127.87	Facility	26	$61.34	$116.58	$127.87
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $164.91 / $390.55 / $471.77	Facility	TC	$164.91	$390.55	$471.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $715.47 / $715.47 / $937.95	Professional		$715.47	$715.47	$937.95
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $162.69 / $162.69 / $205.80	Professional	26	$162.69	$162.69	$205.80
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $552.78 / $552.78 / $732.15	Professional	TC	$552.78	$552.78	$732.15
United Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $83.08 / $157.15	Professional		$53.25	$83.08	$157.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.35 / $25.01 / $50.23	Professional	26	$15.35	$25.01	$50.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.22 / $60.70 / $118.13	Professional	TC	$38.22	$60.70	$118.13