Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $10.00 / $44.67	Facility	26	$7.08	$10.00	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $81.28	Professional		$30.20	$40.74	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.77 / $28.84	Professional	26	$7.08	$9.77	$28.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $38.90 / $40.74	Professional	50	$38.90	$38.90	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.20 / $63.10	Professional	TC	$22.39	$30.20	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $50.12	Professional		$27.54	$36.31	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $6.92 / $13.18	Professional	26	$6.17	$6.92	$13.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.84 / $42.66	Professional	TC	$19.05	$28.84	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $79.43	Professional		$23.44	$37.15	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.80 / $21.88	Professional	26	$8.32	$13.80	$21.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $39.81 / $72.44	Professional	TC	$24.55	$39.81	$72.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $10.23	Facility	26	$10.23	$10.23	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $77.62	Professional		$28.84	$39.81	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.48 / $19.95	Professional	26	$7.59	$11.48	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $30.20 / $61.66	Professional	TC	$19.50	$30.20	$61.66
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 $263.03 / $338.84 / $338.84	Professional		$263.03	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $83.18	Professional	26	$67.61	$67.61	$83.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $269.15 / $269.15	Professional	TC	$208.93	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $70.79	Professional		$28.18	$38.90	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.00 / $16.98	Professional	26	$8.13	$10.00	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $28.84 / $53.70	Professional	TC	$18.62	$28.84	$53.70