Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.48 / $12.02 / $46.78	Facility	26	$7.48	$12.02	$46.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $27.41 / $52.73	Professional		$19.00	$27.41	$52.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $8.27 / $16.14	Professional	26	$7.48	$8.27	$16.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $113.57 / $113.57 / $113.57	Professional	50	$113.57	$113.57	$113.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.52 / $16.73 / $28.21	Professional	TC	$11.52	$16.73	$28.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.39 / $9.27 / $16.32	Professional	26	$6.39	$9.27	$16.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $37.78 / $63.33	Professional		$20.65	$37.78	$63.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $13.28 / $21.15	Professional	26	$7.99	$13.28	$21.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.07 / $25.66 / $42.50	Professional	TC	$14.07	$25.66	$42.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $10.70	Facility	26	$9.96	$9.96	$10.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $34.29 / $59.12	Professional		$21.44	$34.29	$59.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.37 / $20.00	Professional	26	$7.58	$12.37	$20.00
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.09 / $47.09 / $47.09	Professional	50	$47.09	$47.09	$47.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.18 / $22.90 / $40.45	Professional	TC	$14.18	$22.90	$40.45
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $100.00 / $100.00	Facility	26	$24.54	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $203.00 / $203.00	Professional		$203.00	$203.00	$203.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $84.21 / $84.21 / $84.21	Professional	26	$84.21	$84.21	$84.21
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $131.33 / $165.00 / $165.00	Professional	TC	$131.33	$165.00	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $30.72 / $53.90	Professional		$25.60	$30.72	$53.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $10.69 / $18.54	Professional	26	$8.72	$10.69	$18.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.89 / $20.90 / $36.04	Professional	TC	$16.89	$20.90	$36.04