Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.20 / $11.68 / $13.48	Facility	26	$7.20	$11.68	$13.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $33.35 / $63.71	Professional		$29.89	$33.35	$63.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.20 / $7.78 / $15.09	Professional	26	$7.20	$7.78	$15.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $25.57 / $49.30	Professional	TC	$22.57	$25.57	$49.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $43.02 / $53.50	Professional		$33.97	$43.02	$53.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $8.47 / $19.20	Professional	26	$6.16	$8.47	$19.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.29 / $36.29 / $36.29	Professional	TC	$36.29	$36.29	$36.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $45.40 / $80.56	Professional		$26.00	$45.40	$80.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $12.95 / $20.78	Professional	26	$7.96	$12.95	$20.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $33.29 / $61.25	Professional	TC	$21.08	$33.29	$61.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $10.31	Facility	26	$9.30	$9.30	$10.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $41.91 / $75.84	Professional		$28.95	$41.91	$75.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $11.92 / $19.27	Professional	26	$7.30	$11.92	$19.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.62 / $31.15 / $59.03	Professional	TC	$20.62	$31.15	$59.03
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $100.00 / $100.00	Facility	26	$24.54	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $245.68 / $317.85	Professional		$245.68	$245.68	$317.85
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.09 / $61.09 / $67.73	Professional	26	$61.09	$61.09	$67.73
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $192.57 / $192.57 / $250.13	Professional	TC	$192.57	$192.57	$250.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $37.29 / $69.28	Professional		$30.06	$37.29	$69.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $10.30 / $18.07	Professional	26	$8.22	$10.30	$18.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.35 / $28.51 / $52.19	Professional	TC	$20.35	$28.51	$52.19