Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $234.63 / $282.76	Facility		$99.73	$234.63	$282.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.70 / $29.58 / $76.13	Facility	26	$28.70	$29.58	$76.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $68.67 / $151.00	Professional		$44.10	$68.67	$151.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.42 / $31.86 / $62.33	Professional	26	$27.42	$31.86	$62.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $209.18 / $326.11 / $389.99	Professional	50	$209.18	$326.11	$389.99
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.87 / $26.98 / $46.09	Professional	52	$21.87	$26.98	$46.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.87 / $25.50 / $67.89	Professional	TC	$16.87	$25.50	$67.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $42.45 / $84.68	Professional		$42.45	$42.45	$84.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $27.50 / $27.50	Professional	26	$27.50	$27.50	$27.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $88.47 / $153.59	Professional		$49.70	$88.47	$153.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.23 / $38.15 / $58.66	Professional	26	$26.23	$38.15	$58.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.58 / $54.41 / $92.22	Professional	TC	$22.58	$54.41	$92.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Facility		$52.57	$52.57	$52.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.84 / $33.84 / $33.84	Facility	26	$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $78.31 / $139.79	Professional		$44.10	$78.31	$139.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.75 / $34.96 / $61.38	Professional	26	$26.75	$34.96	$61.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.61 / $43.33 / $79.29	Professional	TC	$15.61	$43.33	$79.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.79 / $267.77 / $267.77	Facility		$100.79	$267.77	$267.77
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $68.52 / $149.91 / $149.91	Facility	26	$68.52	$149.91	$149.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $459.15 / $472.92 / $472.92	Professional		$459.15	$472.92	$472.92
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $188.73 / $188.73 / $239.70	Professional	26	$188.73	$188.73	$239.70
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $313.58 / $323.00 / $323.00	Professional	TC	$313.58	$323.00	$323.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $79.25 / $131.07	Professional		$55.90	$79.25	$131.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $34.18 / $62.22	Professional	26	$27.00	$34.18	$62.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.35 / $43.37 / $79.27	Professional	TC	$28.35	$43.37	$79.27