Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.51 / $7.85 / $43.37	Facility	26	$7.51	$7.85	$43.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $27.28 / $41.21	Professional		$25.80	$27.28	$41.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $7.78 / $11.74	Professional	26	$7.29	$7.78	$11.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.24 / $168.24 / $168.24	Professional	50	$168.24	$168.24	$168.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $19.34 / $29.47	Professional	TC	$18.29	$19.34	$29.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $50.09 / $50.09	Professional		$50.09	$50.09	$50.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $9.63 / $15.12	Professional	26	$6.42	$9.63	$15.12
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $25.87 / $25.87 / $25.87	Professional	50	$25.87	$25.87	$25.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $38.61 / $64.29	Professional		$21.27	$38.61	$64.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $12.95 / $22.01	Professional	26	$7.82	$12.95	$22.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.77 / $27.59 / $48.08	Professional	TC	$16.77	$27.59	$48.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.92	Facility	26	$9.67	$9.67	$9.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $36.10 / $64.40	Professional		$25.05	$36.10	$64.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $11.84 / $19.48	Professional	26	$7.44	$11.84	$19.48
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.42 / $43.42 / $43.42	Professional	50	$43.42	$43.42	$43.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $25.17 / $48.31	Professional	TC	$16.73	$25.17	$48.31
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $27.00 / $100.00 / $100.00	Facility	26	$27.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.77 / $208.77 / $278.02	Professional		$208.77	$208.77	$278.02
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.56 / $82.56 / $82.56	Professional	26	$82.56	$82.56	$82.56
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $153.47 / $153.47 / $207.68	Professional	TC	$153.47	$153.47	$207.68
United Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $33.60 / $70.64	Professional		$25.53	$33.60	$70.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $9.91 / $18.09	Professional	26	$8.05	$9.91	$18.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.30 / $23.54 / $41.05	Professional	TC	$17.30	$23.54	$41.05