Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $13.80 / $57.54	Facility	26	$9.33	$13.80	$57.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $45.71 / $338.84	Facility	TC	$27.54	$45.71	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $50.12 / $144.54	Professional		$21.38	$50.12	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $20.89 / $57.54	Professional	26	$8.91	$20.89	$57.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $23.99 / $97.72 / $257.04	Professional	50	$23.99	$97.72	$257.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	52	$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $43.65 / $97.72	Professional	TC	$26.92	$43.65	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $69.18	Professional		$31.62	$42.66	$69.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.72 / $18.20	Professional	26	$8.13	$10.72	$18.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $60.26 / $95.50	Professional	50	$43.65	$60.26	$95.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $60.26	Professional	TC	$25.12	$38.02	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $89.13	Professional		$28.84	$43.65	$89.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $17.38 / $27.54	Professional	26	$10.72	$17.38	$27.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $43.65 / $79.43	Professional	TC	$28.18	$43.65	$79.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	TC	$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $89.13	Professional		$33.88	$47.86	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.45 / $25.12	Professional	26	$9.77	$14.45	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $35.48 / $70.79	Professional	TC	$24.55	$35.48	$70.79
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 Facility Modifier TC Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	TC	$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $398.11	Professional		$295.12	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $89.13 / $89.13	Professional	26	$87.10	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $309.03 / $309.03	Professional	TC	$229.09	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $81.28	Professional		$35.48	$44.67	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.59 / $21.88	Professional	26	$10.47	$12.59	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.11 / $58.88	Professional	TC	$24.55	$33.11	$58.88