Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.78 / $28.64 / $34.78	Facility	26	$19.78	$28.64	$34.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $51.30 / $169.57	Professional		$28.64	$51.30	$169.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.21 / $27.93 / $83.86	Professional	26	$18.21	$27.93	$83.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.96 / $230.53 / $388.05	Professional	50	$52.96	$230.53	$388.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.22 / $26.14 / $54.79	Professional	TC	$9.22	$26.14	$54.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $63.46 / $106.73	Professional		$45.09	$63.46	$106.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.21 / $32.61 / $75.50	Professional	26	$24.21	$32.61	$75.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.15 / $26.15 / $38.94	Professional	TC	$26.15	$26.15	$38.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $47.13 / $83.32	Professional		$30.61	$47.13	$83.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.96 / $30.55 / $49.27	Professional	26	$19.96	$30.55	$49.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.45 / $35.09 / $63.21	Professional	TC	$15.45	$35.09	$63.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $37.43 / $37.43	Facility	26	$37.43	$37.43	$37.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $57.04 / $108.65	Professional		$32.84	$57.04	$108.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.98 / $30.09 / $52.21	Professional	26	$20.98	$30.09	$52.21
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.74 / $84.74 / $84.74	Professional	50	$84.74	$84.74	$84.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.09 / $24.86 / $47.05	Professional	TC	$10.09	$24.86	$47.05
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $77.38 / $160.55 / $160.55	Facility	26	$77.38	$160.55	$160.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $359.16 / $359.16 / $534.98	Professional		$359.16	$359.16	$534.98
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $193.46 / $197.46 / $265.05	Professional	26	$193.46	$197.46	$265.05
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $214.27 / $214.27 / $269.93	Professional	TC	$214.27	$214.27	$269.93
United Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $54.03 / $108.11	Professional		$32.84	$54.03	$108.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.18 / $27.39 / $49.80	Professional	26	$21.18	$27.39	$49.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.26 / $29.88 / $55.49	Professional	TC	$10.26	$29.88	$55.49