Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.43 / $42.37 / $51.18	Facility	26	$35.43	$42.37	$51.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $98.85 / $137.00	Professional		$81.05	$98.85	$137.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.84 / $53.23 / $70.20	Professional	TC	$42.84	$53.23	$70.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Professional		$83.00	$83.00	$83.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $74.63 / $131.41	Professional		$39.51	$74.63	$131.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $123.64 / $190.98	Professional		$84.03	$123.64	$190.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.52 / $63.37 / $102.59	Professional	TC	$37.52	$63.37	$102.59
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $106.02 / $220.31 / $220.31	Facility	26	$106.02	$220.31	$220.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $646.83 / $646.83 / $736.05	Professional		$646.83	$646.83	$736.05
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $354.71 / $354.71 / $375.75	Professional	TC	$354.71	$354.71	$375.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $150.57 / $224.00	Professional		$100.92	$150.57	$224.00
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $50.09 / $65.33 / $104.32	Professional	TC	$50.09	$65.33	$104.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $75.06 / $154.96	Professional		$43.60	$75.06	$154.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $134.19 / $240.69	Professional		$90.30	$134.19	$240.69
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $42.02 / $64.55 / $102.82	Professional	TC	$42.02	$64.55	$102.82
United Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $105.58 / $164.61	Professional		$75.95	$105.58	$164.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.17 / $52.82 / $83.20	Professional	TC	$38.17	$52.82	$83.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $86.09 / $116.80	Professional		$73.43	$86.09	$116.80
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $36.44 / $42.55 / $57.93	Professional	TC	$36.44	$42.55	$57.93