Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.92 / $25.92 / $163.12	Facility	26	$25.92	$25.92	$163.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $79.56 / $298.33	Professional		$51.60	$79.56	$298.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $28.67 / $89.45	Professional	26	$24.78	$28.67	$89.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.39 / $97.39 / $194.78	Professional	50	$97.39	$97.39	$194.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.29 / $29.61 / $96.83	Professional	TC	$12.29	$29.61	$96.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $39.06 / $90.34	Professional		$33.20	$39.06	$90.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.74 / $39.47 / $67.89	Professional	26	$31.74	$39.47	$67.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $115.19 / $186.11	Professional		$55.64	$115.19	$186.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.76 / $41.28 / $63.56	Professional	26	$25.76	$41.28	$63.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $77.73 / $133.22	Professional	TC	$32.36	$77.73	$133.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.32 / $49.32 / $49.32	Facility	26	$49.32	$49.32	$49.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $109.23 / $182.41	Professional		$47.89	$109.23	$182.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.52 / $39.83 / $72.81	Professional	26	$28.52	$39.83	$72.81
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.31 / $131.31 / $131.31	Professional	50	$131.31	$131.31	$131.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.11 / $64.08 / $129.47	Professional	TC	$9.11	$64.08	$129.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $101.38 / $210.71 / $210.71	Facility	26	$101.38	$210.71	$210.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $558.63 / $575.39 / $575.39	Professional		$558.63	$575.39	$575.39
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $253.44 / $260.82 / $344.78	Professional	26	$253.44	$260.82	$344.78
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $430.88 / $443.81 / $443.81	Professional	TC	$430.88	$443.81	$443.81
United Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $109.23 / $163.84	Professional		$71.14	$109.23	$163.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.57 / $36.89 / $68.84	Professional	26	$28.57	$36.89	$68.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.53 / $56.30 / $121.64	Professional	TC	$37.53	$56.30	$121.64