Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.71 / $9.00 / $10.70	Facility	26	$5.71	$9.00	$10.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.98 / $212.34 / $245.79	Facility	TC	$23.98	$212.34	$245.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $32.22 / $68.00	Professional		$23.62	$32.22	$68.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.72 / $6.48 / $18.80	Professional	26	$5.72	$6.48	$18.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $95.40 / $109.66 / $163.46	Professional	50	$95.40	$109.66	$163.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.17 / $15.71 / $22.28	Professional	52	$14.17	$15.71	$22.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $25.57 / $49.19	Professional	TC	$22.57	$25.57	$49.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $40.52 / $57.79	Professional		$28.45	$40.52	$57.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $6.73 / $15.28	Professional	26	$4.90	$6.73	$15.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $36.84 / $38.68	Professional	TC	$21.94	$36.84	$38.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $43.05 / $80.68	Professional		$26.32	$43.05	$80.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.32 / $10.17 / $16.51	Professional	26	$6.32	$10.17	$16.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $34.26 / $65.59	Professional	TC	$22.72	$34.26	$65.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.66 / $7.66 / $8.19	Facility	26	$7.66	$7.66	$8.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.06 / $29.06 / $35.40	Facility	TC	$29.06	$29.06	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $38.79 / $74.29	Professional		$24.23	$38.79	$74.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.76 / $9.42 / $15.12	Professional	26	$5.76	$9.42	$15.12
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $49.70 / $49.70 / $49.70	Professional	50	$49.70	$49.70	$49.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.12 / $31.13 / $61.51	Professional	TC	$18.12	$31.13	$61.51
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 $67.18 / $173.52 / $173.52	Facility	TC	$67.18	$173.52	$173.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $241.48 / $241.48 / $324.52	Professional		$241.48	$241.48	$324.52
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.19 / $51.19 / $54.60	Professional	26	$51.19	$51.19	$54.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $199.06 / $199.06 / $269.93	Professional	TC	$199.06	$199.06	$269.93
United Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $36.09 / $68.02	Professional		$25.23	$36.09	$68.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.54 / $8.10 / $14.19	Professional	26	$6.54	$8.10	$14.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $30.91 / $52.04	Professional	TC	$21.28	$30.91	$52.04