Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.33 / $10.26 / $11.84	Facility	26	$6.33	$10.26	$11.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $10.98 / $27.53 / $237.08	Facility	TC	$10.98	$27.53	$237.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $21.21 / $36.06	Professional		$17.30	$21.21	$36.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.33 / $6.82 / $12.97	Professional	26	$6.33	$6.82	$12.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.11 / $39.11 / $99.06	Professional	50	$39.11	$39.11	$99.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.98 / $14.22 / $24.28	Professional	TC	$10.98	$14.22	$24.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $35.74 / $38.02	Professional		$13.00	$35.74	$38.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.41 / $7.85 / $16.88	Professional	26	$5.41	$7.85	$16.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $30.72 / $49.96	Professional		$16.39	$30.72	$49.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $11.43 / $19.03	Professional	26	$7.06	$11.43	$19.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.65 / $20.27 / $32.65	Professional	TC	$11.65	$20.27	$32.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $8.46 / $9.44	Facility	26	$8.46	$8.46	$9.44
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.03 / $16.03 / $16.98	Facility	TC	$16.03	$16.03	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $29.25 / $49.08	Professional		$18.72	$29.25	$49.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.49 / $10.51 / $17.25	Professional	26	$6.49	$10.51	$17.25
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.06 / $35.06 / $35.06	Professional	50	$35.06	$35.06	$35.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.65 / $19.23 / $33.56	Professional	TC	$11.65	$19.23	$33.56
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $19.63 / $100.00 / $100.00	Facility	26	$19.63	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $34.36 / $100.00 / $100.00	Facility	TC	$34.36	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $182.55	Professional		$172.00	$172.00	$182.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.64 / $72.64 / $72.64	Professional	26	$72.64	$72.64	$72.64
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $122.85 / $148.00 / $148.00	Professional	TC	$122.85	$148.00	$148.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $26.09 / $41.76	Professional		$20.09	$26.09	$41.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $9.05 / $16.60	Professional	26	$7.22	$9.05	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.61 / $16.77 / $27.50	Professional	TC	$12.61	$16.77	$27.50