Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.23 / $755.23 / $755.23	Facility		$755.23	$755.23	$755.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $93.11 / $235.40	Professional		$72.73	$93.11	$235.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.45 / $33.78 / $154.01	Professional	26	$25.45	$33.78	$154.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.28 / $56.11 / $154.85	Professional	TC	$47.28	$56.11	$154.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $63.51 / $168.30	Professional		$49.90	$63.51	$168.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.76 / $15.92 / $63.61	Professional	26	$15.76	$15.92	$63.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $43.34 / $44.60	Professional	TC	$34.14	$43.34	$44.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $134.26 / $173.39	Professional		$84.37	$134.26	$173.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.52 / $54.43 / $69.28	Professional	26	$29.52	$54.43	$69.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.58 / $76.73 / $114.88	Professional	TC	$53.58	$76.73	$114.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.34 / $45.24 / $176.16	Facility		$42.34	$45.24	$176.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.68 / $21.03 / $71.22	Facility	26	$19.68	$21.03	$71.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.66 / $24.21 / $104.94	Facility	TC	$22.66	$24.21	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $73.84 / $180.25	Professional		$48.39	$73.84	$180.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $29.70 / $80.86	Professional	26	$16.22	$29.70	$80.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.68 / $41.99 / $107.75	Professional	TC	$30.68	$41.99	$107.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $228.62 / $510.17 / $600.35	Facility		$228.62	$510.17	$600.35
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $80.37 / $170.73 / $170.73	Facility	26	$80.37	$170.73	$170.73
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $151.21 / $357.27 / $432.16	Facility	TC	$151.21	$357.27	$432.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.34 / $661.34 / $938.48	Professional		$661.34	$661.34	$938.48
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $269.70 / $278.39 / $278.39	Professional	26	$269.70	$278.39	$278.39
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $424.71 / $424.71 / $668.78	Professional	TC	$424.71	$424.71	$668.78
United Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $83.40 / $192.12	Professional		$58.31	$83.40	$192.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.29 / $35.47 / $71.34	Professional	26	$21.29	$35.47	$71.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.79 / $59.27 / $111.45	Professional	TC	$37.79	$59.27	$111.45