Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $36.31 / $46.77	Facility	26	$16.98	$36.31	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $295.12	Professional		$57.54	$75.86	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $93.33	Professional	26	$15.85	$20.89	$93.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $229.09 / $263.03	Professional	50	$28.84	$229.09	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $45.71 / $72.44	Professional	TC	$38.90	$45.71	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $87.10	Professional		$52.48	$60.26	$87.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $23.99 / $33.11	Professional	26	$16.98	$23.99	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $70.79 / $123.03	Professional		$35.48	$70.79	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.92 / $40.74	Professional	26	$19.50	$26.92	$40.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $57.54 / $91.20	Professional	TC	$42.66	$57.54	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $128.82	Professional		$56.23	$74.13	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.99 / $39.81	Professional	26	$18.20	$23.99	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $50.12 / $87.10	Professional	TC	$38.90	$50.12	$87.10
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $501.19	Professional		$416.87	$501.19	$501.19
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $144.54 / $144.54	Professional	26	$114.82	$144.54	$144.54
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $354.81 / $354.81	Professional	TC	$302.00	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $117.49	Professional		$53.70	$67.61	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $21.88 / $37.15	Professional	26	$16.60	$21.88	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $46.77 / $79.43	Professional	TC	$36.31	$46.77	$79.43