Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.72 / $626.04 / $1,186.78	Facility		$220.72	$626.04	$1,186.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.49 / $48.28 / $96.39	Facility	26	$31.49	$48.28	$96.39
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $160.03 / $647.70 / $1,390.88	Facility	TC	$160.03	$647.70	$1,390.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.46 / $212.51 / $536.25	Professional		$173.46	$212.51	$536.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.63 / $36.15 / $136.63	Professional	26	$30.63	$36.15	$136.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.55 / $169.33 / $296.37	Professional	TC	$142.55	$169.33	$296.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $143.69 / $326.79	Professional		$119.61	$143.69	$326.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.69 / $32.57 / $60.66	Professional	26	$23.69	$32.57	$60.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $105.69 / $125.86 / $252.34	Professional	TC	$105.69	$125.86	$252.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $256.22 / $375.88	Professional		$160.60	$256.22	$375.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.77 / $43.41 / $65.84	Professional	26	$29.77	$43.41	$65.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.26 / $211.62 / $308.19	Professional	TC	$132.26	$211.62	$308.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.67 / $432.77 / $577.00	Facility		$282.67	$432.77	$577.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.51 / $37.51 / $37.51	Facility	26	$37.51	$37.51	$37.51
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $172.98 / $172.98 / $172.98	Facility	TC	$172.98	$172.98	$172.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.25 / $243.43 / $406.12	Professional		$175.25	$243.43	$406.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $42.45 / $73.72	Professional	26	$32.11	$42.45	$73.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.94 / $201.99 / $350.71	Professional	TC	$144.94	$201.99	$350.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $370.07 / $991.94 / $991.94	Facility		$370.07	$991.94	$991.94
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $75.65 / $212.00 / $212.00	Facility	26	$75.65	$212.00	$212.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $305.67 / $836.05 / $836.05	Facility	TC	$305.67	$836.05	$836.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,556.63 / $1,578.90 / $1,622.16	Professional		$1,556.63	$1,578.90	$1,622.16
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $889.65 / $889.65 / $889.65	Professional	26	$889.65	$889.65	$889.65
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,296.30 / $1,388.59 / $1,426.64	Professional	TC	$1,296.30	$1,388.59	$1,426.64
United Facility/Professional Professional Modifier Low / Median / High Price $178.97 / $239.92 / $397.29	Professional		$178.97	$239.92	$397.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.84 / $39.13 / $71.38	Professional	26	$31.84	$39.13	$71.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $146.36 / $196.77 / $323.31	Professional	TC	$146.36	$196.77	$323.31