Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $201.57 / $434.19	Facility		$64.02	$201.57	$434.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $11.68 / $13.48	Facility	26	$7.20	$11.68	$13.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.58 / $221.64 / $330.46	Facility	TC	$34.58	$221.64	$330.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $36.88 / $92.97	Professional		$25.59	$36.88	$92.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $8.51 / $28.80	Professional	26	$7.21	$8.51	$28.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $44.56 / $118.53 / $226.00	Professional	50	$44.56	$118.53	$226.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.64 / $28.75 / $57.10	Professional	TC	$24.64	$28.75	$57.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $43.83 / $62.51	Professional		$26.21	$43.83	$62.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $8.94 / $15.73	Professional	26	$6.16	$8.94	$15.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $46.05 / $59.86 / $62.58	Professional	50	$46.05	$59.86	$62.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.43 / $42.16 / $42.87	Professional	TC	$19.43	$42.16	$42.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $48.96 / $80.39	Professional		$28.58	$48.96	$80.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $12.94 / $20.62	Professional	26	$7.96	$12.94	$20.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $37.26 / $68.56	Professional	TC	$23.76	$37.26	$68.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $73.84 / $122.93	Facility		$58.49	$73.84	$122.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $10.31	Facility	26	$9.61	$9.61	$10.31
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.23 / $30.23 / $36.90	Facility	TC	$30.23	$30.23	$36.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $43.93 / $80.59	Professional		$30.64	$43.93	$80.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $11.92 / $19.27	Professional	26	$7.30	$11.92	$19.27
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.88 / $53.88 / $53.88	Professional	50	$53.88	$53.88	$53.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.41 / $32.64 / $63.98	Professional	TC	$21.41	$32.64	$63.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.91 / $359.91 / $359.91	Facility		$87.91	$359.91	$359.91
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 Facility Modifier TC Low / Median / High Price $70.01 / $180.83 / $180.83	Facility	TC	$70.01	$180.83	$180.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.06 / $263.06 / $348.98	Professional		$263.06	$263.06	$348.98
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.70 / $67.70 / $67.73	Professional	26	$67.70	$67.70	$67.73
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $209.88 / $209.88 / $281.25	Professional	TC	$209.88	$209.88	$281.25
United Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $42.25 / $73.98	Professional		$30.89	$42.25	$73.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.30 / $18.07	Professional	26	$8.30	$10.30	$18.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.09 / $32.47 / $62.10	Professional	TC	$24.09	$32.47	$62.10