Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $76.27 / $223.46	Professional		$64.27	$76.27	$223.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.62 / $36.08 / $301.58	Professional	26	$20.62	$36.08	$301.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $51.80 / $139.97	Professional	TC	$43.65	$51.80	$139.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $54.32 / $144.03	Professional		$42.76	$54.32	$144.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $12.86 / $37.96	Professional	26	$12.75	$12.86	$37.96
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.00 / $40.32 / $40.32	Professional	TC	$30.00	$40.32	$40.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $97.06 / $147.71	Professional		$72.16	$97.06	$147.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.92 / $32.72 / $48.76	Professional	26	$23.92	$32.72	$48.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.77 / $64.18 / $97.79	Professional	TC	$47.77	$64.18	$97.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.44 / $33.59 / $176.16	Facility		$31.44	$33.59	$176.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.15 / $10.84 / $71.22	Facility	26	$10.15	$10.84	$71.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $21.29 / $22.75 / $104.94	Facility	TC	$21.29	$22.75	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $61.40 / $149.09	Professional		$39.42	$61.40	$149.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $21.37 / $55.03	Professional	26	$11.86	$21.37	$55.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.86 / $41.21 / $100.94	Professional	TC	$26.86	$41.21	$100.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $437.49 / $516.33	Facility		$195.26	$437.49	$516.33
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $64.98 / $124.11 / $136.56	Facility	26	$64.98	$124.11	$136.56
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $133.01 / $313.37 / $379.76	Facility	TC	$133.01	$313.37	$379.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $559.76 / $559.76 / $804.98	Professional		$559.76	$559.76	$804.98
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $173.52 / $173.52 / $219.45	Professional	26	$173.52	$173.52	$219.45
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $386.24 / $386.24 / $585.53	Professional	TC	$386.24	$386.24	$585.53
United Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $61.21 / $156.78	Professional		$37.25	$61.21	$156.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.66 / $18.70 / $54.56	Professional	26	$12.66	$18.70	$54.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.56 / $39.24 / $107.67	Professional	TC	$24.56	$39.24	$107.67