Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $12.02 / $48.98	Facility	26	$10.23	$12.02	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.20 / $72.44	Professional		$18.62	$30.20	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $29.51	Professional	26	$7.08	$10.96	$29.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.95 / $61.66 / $120.23	Professional	50	$54.95	$61.66	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $18.20 / $39.81	Professional	TC	$10.96	$18.20	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $38.02	Professional		$17.78	$23.99	$38.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.33 / $16.22	Professional	26	$6.46	$9.33	$16.22
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	50	$27.54	$27.54	$27.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $15.14 / $25.70	Professional	TC	$12.02	$15.14	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $57.54	Professional		$20.42	$30.90	$57.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.80 / $21.88	Professional	26	$8.71	$13.80	$21.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $25.70 / $44.67	Professional	TC	$16.60	$25.70	$44.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $10.72 / $10.72	Facility	26	$10.72	$10.72	$10.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $57.54	Professional		$22.91	$33.11	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $19.95	Professional	26	$7.76	$11.22	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $21.88 / $38.90	Professional	TC	$14.45	$21.88	$38.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	26	$85.11	$85.11	$85.11
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $131.83 / $165.96	Professional	TC	$131.83	$131.83	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $53.70	Professional		$25.12	$30.90	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.00 / $17.78	Professional	26	$8.51	$10.00	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.42 / $35.48	Professional	TC	$16.60	$20.42	$35.48