Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $16.22 / $69.18	Facility	26	$10.72	$16.22	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $95.50	Professional		$36.31	$47.86	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.14 / $34.67	Professional	26	$10.00	$15.14	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $34.67 / $67.61	Professional	TC	$25.12	$34.67	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $67.61	Professional		$28.18	$33.88	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.96 / $28.84	Professional	26	$9.12	$10.96	$28.84
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $29.51 / $51.29	Professional	TC	$21.88	$29.51	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $93.33	Professional		$26.92	$45.71	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $19.95 / $32.36	Professional	26	$12.30	$19.95	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $42.66 / $77.62	Professional	TC	$27.54	$42.66	$77.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $15.85 / $15.85	Facility	26	$15.85	$15.85	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $93.33	Professional		$38.02	$51.29	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.60 / $30.20	Professional	26	$11.22	$16.60	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $66.07	Professional	TC	$25.70	$36.31	$66.07
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $389.05	Professional		$309.03	$389.05	$389.05
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $100.00 / $100.00	Professional	26	$95.50	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $295.12 / $295.12	Professional	TC	$251.19	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $85.11	Professional		$38.90	$47.86	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $14.45 / $26.30	Professional	26	$12.30	$14.45	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $33.11 / $58.88	Professional	TC	$26.92	$33.11	$58.88