Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.18 / $11.92 / $65.36	Facility	26	$10.18	$11.92	$65.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $37.11 / $65.39	Professional		$34.97	$37.11	$65.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $10.76 / $19.04	Professional	26	$9.94	$10.76	$19.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $26.88 / $46.23	Professional	TC	$24.33	$26.88	$46.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Professional		$58.28	$58.28	$58.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $9.80 / $19.80	Professional	26	$8.93	$9.80	$19.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $18.64 / $18.64	Professional	TC	$18.64	$18.64	$18.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $55.14 / $92.44	Professional		$30.51	$55.14	$92.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $18.66 / $30.11	Professional	26	$11.24	$18.66	$30.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.53 / $36.71 / $66.41	Professional	TC	$22.53	$36.71	$66.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $14.94	Facility	26	$13.50	$13.50	$14.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $49.46 / $87.10	Professional		$33.75	$49.46	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $17.05 / $27.93	Professional	26	$10.50	$17.05	$27.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.96 / $34.24 / $63.16	Professional	TC	$23.96	$34.24	$63.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $100.00 / $100.00	Facility	26	$34.36	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $282.36 / $282.36 / $366.83	Professional		$282.36	$282.36	$366.83
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $90.81 / $90.81 / $96.90	Professional	26	$90.81	$90.81	$96.90
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $211.00 / $211.00 / $269.93	Professional	TC	$211.00	$211.00	$269.93
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $45.96 / $80.54	Professional		$36.90	$45.96	$80.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $14.93 / $26.69	Professional	26	$12.08	$14.93	$26.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $31.06 / $56.29	Professional	TC	$23.77	$31.06	$56.29