Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.75 / $17.42 / $20.10	Facility	26	$10.75	$17.42	$20.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $41.56 / $78.70	Professional		$37.97	$41.56	$78.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $11.78 / $20.28	Professional	26	$10.65	$11.78	$20.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.86 / $29.68 / $51.56	Professional	TC	$26.86	$29.68	$51.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $31.82 / $63.77	Professional		$31.82	$31.82	$63.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $14.35 / $28.53	Professional	26	$9.19	$14.35	$28.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $42.89 / $42.89	Professional	TC	$20.22	$42.89	$42.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $59.25 / $100.40	Professional		$33.34	$59.25	$100.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $19.44 / $31.76	Professional	26	$11.77	$19.44	$31.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.87 / $40.13 / $71.98	Professional	TC	$24.87	$40.13	$71.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $15.76	Facility	26	$14.26	$14.26	$15.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $55.90 / $97.13	Professional		$37.11	$55.90	$97.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $17.78 / $29.16	Professional	26	$11.08	$17.78	$29.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.52 / $38.58 / $69.75	Professional	TC	$26.52	$38.58	$69.75
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 $306.22 / $306.22 / $392.03	Professional		$306.22	$306.22	$392.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.76 / $95.76 / $99.45	Professional	26	$95.76	$95.76	$99.45
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $250.00 / $250.00 / $292.58	Professional	TC	$250.00	$250.00	$292.58
United Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $50.94 / $89.37	Professional		$41.01	$50.94	$89.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.56 / $15.58 / $27.64	Professional	26	$12.56	$15.58	$27.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.45 / $35.18 / $61.73	Professional	TC	$28.45	$35.18	$61.73