Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $65.38 / $209.90	Professional		$55.09	$65.38	$209.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.74 / $15.00 / $95.79	Professional	26	$8.74	$15.00	$95.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.35 / $55.00 / $132.94	Professional	TC	$46.35	$55.00	$132.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $46.18 / $120.56	Professional		$35.94	$46.18	$120.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.42 / $6.99 / $21.67	Professional	26	$5.42	$6.99	$21.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.29 / $36.61 / $38.29	Professional	TC	$34.29	$36.61	$38.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $94.80 / $120.92	Professional		$62.44	$94.80	$120.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.75 / $23.46	Professional	26	$10.23	$15.75	$23.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.19 / $79.00 / $99.81	Professional	TC	$52.19	$79.00	$99.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $31.17 / $132.22	Facility		$29.17	$31.17	$132.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $6.01 / $20.26	Facility	26	$5.62	$6.01	$20.26
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.55 / $25.16 / $111.96	Facility	TC	$23.55	$25.16	$111.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $51.86 / $121.13	Professional		$31.33	$51.86	$121.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.58 / $9.97 / $24.29	Professional	26	$5.58	$9.97	$24.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.72 / $39.31 / $100.79	Professional	TC	$26.72	$39.31	$100.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.11 / $372.39 / $444.13	Facility		$160.11	$372.39	$444.13
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $27.59 / $100.00 / $100.00	Facility	26	$27.59	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $135.13 / $319.41 / $386.32	Facility	TC	$135.13	$319.41	$386.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $514.55 / $514.55 / $692.33	Professional		$514.55	$514.55	$692.33
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $87.52 / $87.52 / $94.35	Professional	26	$87.52	$87.52	$94.35
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $439.92 / $439.92 / $598.04	Professional	TC	$439.92	$439.92	$598.04
United Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $61.38 / $136.99	Professional		$36.83	$61.38	$136.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $11.24 / $22.24	Professional	26	$6.84	$11.24	$22.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.99 / $50.64 / $111.97	Professional	TC	$29.99	$50.64	$111.97