Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.48 / $26.65 / $161.12	Facility	26	$25.48	$26.65	$161.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $70.02 / $134.22	Professional		$54.60	$70.02	$134.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $28.10 / $48.36	Professional	26	$25.03	$28.10	$48.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $65.93 / $214.32 / $257.18	Professional	50	$65.93	$214.32	$257.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.30 / $29.44 / $46.87	Professional	52	$27.30	$29.44	$46.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.12 / $39.60 / $65.80	Professional	TC	$29.12	$39.60	$65.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $60.71 / $60.71	Professional		$60.71	$60.71	$60.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $93.03 / $153.10	Professional		$53.88	$93.03	$153.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.93 / $39.85 / $63.62	Professional	26	$25.93	$39.85	$63.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.01 / $54.45 / $89.88	Professional	TC	$33.01	$54.45	$89.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.84 / $33.84 / $33.84	Facility	26	$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $86.93 / $146.54	Professional		$56.58	$86.93	$146.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.47 / $37.46 / $62.77	Professional	26	$25.47	$37.46	$62.77
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.82 / $97.82 / $97.82	Professional	50	$97.82	$97.82	$97.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.76 / $50.36 / $90.54	Professional	TC	$30.76	$50.36	$90.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $78.53 / $151.72 / $151.72	Facility	26	$78.53	$151.72	$151.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $497.00 / $566.17	Professional		$497.00	$497.00	$566.17
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $320.31 / $320.31 / $320.31	Professional	26	$320.31	$320.31	$320.31
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $320.31 / $320.31 / $323.63	Professional	TC	$320.31	$320.31	$323.63
United Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $80.19 / $144.34	Professional		$61.07	$80.19	$144.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.09 / $34.94 / $63.90	Professional	26	$28.09	$34.94	$63.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.24 / $45.34 / $80.45	Professional	TC	$32.24	$45.34	$80.45