Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $10.00 / $109.65	Facility		$7.41	$10.00	$109.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $40.74 / $42.66	Facility	26	$12.30	$40.74	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.13 / $37.15	Professional		$9.33	$14.13	$37.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $26.30	Professional	26	$6.03	$8.91	$26.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $12.30 / $12.30 / $12.30	Professional	50	$12.30	$12.30	$12.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.72 / $7.41	Professional	TC	$2.00	$3.72	$7.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.12 / $16.98	Professional		$7.94	$9.12	$16.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $1.82 / $1.82 / $18.62	Professional	26	$1.82	$1.82	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.02 / $3.02	Professional	TC	$3.02	$3.02	$3.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $15.14 / $26.30	Professional		$4.68	$15.14	$26.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.59 / $20.89	Professional	26	$8.13	$12.59	$20.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $5.62 / $9.33	Professional	TC	$3.72	$5.62	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $13.18 / $27.54	Facility		$7.24	$13.18	$27.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.30	Facility	26	$1.86	$8.71	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.79 / $25.70	Professional		$10.47	$14.79	$25.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.72 / $18.62	Professional	26	$7.24	$10.72	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.69 / $4.37 / $8.71	Professional	TC	$2.69	$4.37	$8.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
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 $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional	26	$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $977.24 / $977.24 / $977.24	Professional	TC	$977.24	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $27.54 / $27.54	Facility		$14.79	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $23.44	Professional		$10.96	$13.49	$23.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.77 / $15.85	Professional	26	$7.41	$9.77	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.95 / $4.07 / $7.59	Professional	TC	$2.95	$4.07	$7.59