Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $152.12 / $385.44	Facility		$68.68	$152.12	$385.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.62 / $11.65 / $14.56	Facility	26	$6.62	$11.65	$14.56
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.55 / $32.64 / $212.34	Facility	TC	$18.55	$32.64	$212.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $28.33 / $66.98	Professional		$22.16	$28.33	$66.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $7.78 / $25.51	Professional	26	$6.63	$7.78	$25.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $45.78 / $97.69 / $112.62	Professional	50	$45.78	$97.69	$112.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $20.16 / $41.46	Professional	TC	$17.57	$20.16	$41.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $34.88 / $45.94	Professional		$21.51	$34.88	$45.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $7.93 / $15.41	Professional	26	$5.67	$7.93	$15.41
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $35.44 / $35.44 / $35.44	Professional	50	$35.44	$35.44	$35.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.11 / $26.94 / $62.25	Professional	TC	$14.11	$26.94	$62.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $38.46 / $66.22	Professional		$22.89	$38.46	$66.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $12.29 / $19.89	Professional	26	$7.38	$12.29	$19.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.09 / $27.42 / $49.08	Professional	TC	$17.09	$27.42	$49.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $55.51 / $89.27	Facility		$44.15	$55.51	$89.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $9.48	Facility	26	$8.86	$8.86	$9.48
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.22 / $23.22 / $26.85	Facility	TC	$23.22	$23.22	$26.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $37.24 / $62.94	Professional		$24.74	$37.24	$62.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $11.07 / $17.93	Professional	26	$6.95	$11.07	$17.93
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.42 / $43.42 / $43.42	Professional	50	$43.42	$43.42	$43.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $26.05 / $46.64	Professional	TC	$17.87	$26.05	$46.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $972.00 / $972.00	Facility		$67.23	$972.00	$972.00
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 $50.81 / $131.29 / $131.29	Facility	TC	$50.81	$131.29	$131.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $202.34 / $202.34 / $267.14	Professional		$202.34	$202.34	$267.14
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.64 / $75.00 / $75.00	Professional	26	$72.64	$75.00	$75.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $163.00 / $163.00 / $204.83	Professional	TC	$163.00	$163.00	$204.83
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $33.78 / $68.33	Professional		$27.00	$33.78	$68.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.72 / $9.48 / $16.60	Professional	26	$7.72	$9.48	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $24.30 / $43.21	Professional	TC	$19.07	$24.30	$43.21