Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.11 / $125.28 / $886.26	Facility		$61.11	$125.28	$886.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.63 / $18.17 / $46.75	Facility	26	$17.63	$18.17	$46.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $81.09 / $146.81	Professional		$61.11	$81.09	$146.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $18.87 / $28.46	Professional	26	$16.57	$18.87	$28.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.48 / $57.24 / $122.46	Professional	TC	$43.48	$57.24	$122.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $63.26 / $75.83	Professional		$59.52	$63.26	$75.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $89.78 / $144.01	Professional		$58.74	$89.78	$144.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.43 / $24.00 / $36.88	Professional	26	$17.43	$24.00	$36.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.55 / $67.98 / $111.27	Professional	TC	$43.55	$67.98	$111.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.31 / $275.81 / $371.04	Facility		$127.31	$275.81	$371.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $103.84 / $193.95	Professional		$62.65	$103.84	$193.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $24.28 / $43.75	Professional	26	$18.19	$24.28	$43.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.32 / $76.81 / $155.57	Professional	TC	$45.32	$76.81	$155.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $349.02 / $353.50	Facility		$133.16	$349.02	$353.50
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $42.01 / $100.00 / $134.26	Facility	26	$42.01	$100.00	$134.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $611.90 / $803.55 / $803.55	Professional		$611.90	$803.55	$803.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $416.07 / $416.07 / $416.07	Professional	26	$416.07	$416.07	$416.07
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $567.25 / $578.59 / $578.59	Professional	TC	$567.25	$578.59	$578.59
United Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $107.78 / $191.92	Professional		$61.07	$107.78	$191.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.96 / $21.64 / $38.57	Professional	26	$16.96	$21.64	$38.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.56 / $76.23 / $155.97	Professional	TC	$43.56	$76.23	$155.97