Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.62 / $6.62 / $41.48	Facility	26	$6.62	$6.62	$41.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $27.00 / $63.68	Professional		$22.74	$27.00	$63.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $7.48 / $14.07	Professional	26	$6.63	$7.48	$14.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.22 / $56.40 / $80.58	Professional	50	$50.22	$56.40	$80.58
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.99 / $12.07 / $17.25	Professional	52	$10.99	$12.07	$17.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $18.28 / $33.63	Professional	TC	$16.39	$18.28	$33.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $28.63 / $41.78	Professional		$21.21	$28.63	$41.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $8.86 / $17.70	Professional	26	$5.67	$8.86	$17.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.28 / $29.97 / $29.97	Professional	TC	$14.28	$29.97	$29.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $37.90 / $60.41	Professional		$20.70	$37.90	$60.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $11.84 / $19.43	Professional	26	$7.22	$11.84	$19.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $26.57 / $43.92	Professional	TC	$15.88	$26.57	$43.92
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 Professional Modifier Low / Median / High Price $23.30 / $34.61 / $59.80	Professional		$23.30	$34.61	$59.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $10.97 / $17.73	Professional	26	$6.72	$10.97	$17.73
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.76 / $39.76 / $39.76	Professional	50	$39.76	$39.76	$39.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.25 / $24.27 / $43.37	Professional	TC	$16.25	$24.27	$43.37
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 Professional Modifier Low / Median / High Price $184.96 / $184.96 / $238.88	Professional		$184.96	$184.96	$238.88
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.33 / $67.13 / $67.13	Professional	26	$62.33	$67.13	$67.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $149.00 / $149.00 / $176.55	Professional	TC	$149.00	$149.00	$176.55
United Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $31.07 / $61.94	Professional		$25.76	$31.07	$61.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.48 / $16.60	Professional	26	$7.59	$9.48	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $21.59 / $37.88	Professional	TC	$17.73	$21.59	$37.88