Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $11.03 / $12.90	Facility	26	$6.90	$11.03	$12.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $28.82 / $63.00	Professional		$24.22	$28.82	$63.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $7.59 / $20.00	Professional	26	$6.90	$7.59	$20.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.26 / $125.26 / $125.26	Professional	50	$125.26	$125.26	$125.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $21.35 / $36.46	Professional	TC	$18.82	$21.35	$36.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $45.63 / $69.30	Professional		$28.06	$45.63	$69.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $8.56 / $18.38	Professional	26	$5.90	$8.56	$18.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $26.09 / $30.55	Professional	TC	$14.51	$26.09	$30.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $38.96 / $68.03	Professional		$22.11	$38.96	$68.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.52 / $12.39 / $19.91	Professional	26	$7.52	$12.39	$19.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $27.28 / $46.93	Professional	TC	$16.96	$27.28	$46.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.86	Facility	26	$9.19	$9.19	$9.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.58 / $64.28	Professional		$25.12	$36.58	$64.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.99 / $11.36 / $18.23	Professional	26	$6.99	$11.36	$18.23
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.89 / $42.89 / $42.89	Professional	50	$42.89	$42.89	$42.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.12 / $26.21 / $47.49	Professional	TC	$18.12	$26.21	$47.49
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.09 / $100.00 / $100.00	Facility	26	$22.09	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $206.66 / $206.66 / $275.70	Professional		$206.66	$206.66	$275.70
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.26 / $79.26 / $79.26	Professional	26	$79.26	$79.26	$79.26
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $161.00 / $161.00 / $210.53	Professional	TC	$161.00	$161.00	$210.53
United Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $33.97 / $60.64	Professional		$27.31	$33.97	$60.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $9.48 / $16.60	Professional	26	$7.91	$9.48	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.37 / $24.19 / $43.33	Professional	TC	$19.37	$24.19	$43.33