Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $40.74 / $186.21	Facility	26	$29.51	$40.74	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $229.09	Professional		$72.44	$109.65	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $45.71 / $123.03	Professional	26	$28.84	$45.71	$123.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $234.42 / $501.19	Professional	50	$64.57	$234.42	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $70.79 / $128.82	Professional	TC	$54.95	$70.79	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $169.82	Professional		$70.79	$81.28	$169.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $39.81 / $60.26	Professional	26	$25.70	$39.81	$60.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $151.36 / $229.09	Professional	50	$109.65	$151.36	$229.09
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $74.13 / $169.82	Professional	TC	$48.98	$74.13	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $213.80	Professional		$64.57	$117.49	$213.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $51.29 / $83.18	Professional	26	$33.88	$51.29	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $95.50 / $151.36	Professional	TC	$60.26	$95.50	$151.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $39.81 / $56.23	Facility	26	$8.51	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $204.17	Professional		$87.10	$123.03	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $44.67 / $75.86	Professional	26	$30.20	$44.67	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $79.43 / $134.90	Professional	TC	$56.23	$79.43	$134.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $851.14	Professional		$660.69	$851.14	$851.14
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $281.84 / $281.84	Professional	26	$218.78	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $575.44 / $575.44	Professional	TC	$446.68	$575.44	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $194.98	Professional		$95.50	$120.23	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $42.66 / $69.18	Professional	26	$32.36	$42.66	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $77.62 / $128.82	Professional	TC	$61.66	$77.62	$128.82