Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $12.02 / $44.67	Facility	26	$7.24	$12.02	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $67.61	Professional		$23.99	$33.88	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $24.55	Professional	26	$6.03	$8.91	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $46.77	Professional	TC	$16.98	$23.99	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $27.54 / $44.67	Professional		$19.50	$27.54	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.76 / $19.95	Professional	26	$5.75	$7.76	$19.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $22.39 / $34.67	Professional	TC	$17.38	$22.39	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $64.57	Professional		$19.95	$32.36	$64.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.18 / $20.89	Professional	26	$8.32	$13.18	$20.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.90 / $53.70	Professional	TC	$19.95	$30.90	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $10.23	Facility	26	$10.23	$10.23	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.02 / $63.10	Professional		$26.30	$38.02	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.96 / $19.50	Professional	26	$7.41	$10.96	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.92 / $48.98	Professional	TC	$18.62	$26.92	$48.98
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 $208.93 / $275.42 / $275.42	Professional		$208.93	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $67.61 / $67.61	Professional	26	$66.07	$67.61	$67.61
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $204.17 / $204.17	Professional	TC	$186.21	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $57.54	Professional		$27.54	$33.88	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.55 / $16.98	Professional	26	$8.13	$9.55	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.99 / $40.74	Professional	TC	$19.05	$23.99	$40.74