Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.31 / $938.31 / $938.31	Facility		$938.31	$938.31	$938.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $129.12 / $223.86	Professional		$107.01	$129.12	$223.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $23.02 / $40.34	Professional	26	$11.77	$23.02	$40.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.20 / $106.76 / $189.87	Professional	TC	$95.20	$106.76	$189.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $112.00 / $123.20	Professional		$107.71	$112.00	$123.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.47 / $35.51 / $35.51	Professional	26	$16.47	$35.51	$35.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $208.66 / $318.02	Professional		$128.34	$208.66	$318.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $23.06 / $45.96	Professional	26	$14.09	$23.06	$45.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.60 / $186.96 / $288.56	Professional	TC	$105.60	$186.96	$288.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.05 / $343.34 / $356.76	Facility		$141.05	$343.34	$356.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.75 / $26.75 / $26.75	Facility	26	$26.75	$26.75	$26.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.02 / $194.35 / $344.79	Professional		$133.02	$194.35	$344.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.95 / $25.59 / $52.12	Professional	26	$14.95	$25.59	$52.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.36 / $169.47 / $322.38	Professional	TC	$117.36	$169.47	$322.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.79 / $318.12 / $708.89	Facility		$263.79	$318.12	$708.89
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $52.72 / $107.64	Facility	26	$52.72	$52.72	$107.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.59 / $1,197.25 / $1,230.05	Professional		$1,122.59	$1,197.25	$1,230.05
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $198.13 / $198.13 / $198.13	Professional	26	$198.13	$198.13	$198.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $934.20 / $1,126.14 / $1,157.00	Professional	TC	$934.20	$1,126.14	$1,157.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $179.03 / $305.01	Professional		$129.91	$179.03	$305.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.02 / $24.34 / $45.07	Professional	26	$13.02	$24.34	$45.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.90 / $154.51 / $265.17	Professional	TC	$108.90	$154.51	$265.17