Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.99 / $9.41 / $65.36	Facility	26	$8.99	$9.41	$65.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $35.04 / $65.97	Professional		$30.26	$35.04	$65.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $10.60 / $19.32	Professional	26	$8.99	$10.60	$19.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.27 / $24.44 / $41.98	Professional	TC	$21.27	$24.44	$41.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $43.24 / $57.18	Professional		$25.71	$43.24	$57.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $9.57 / $23.93	Professional	26	$7.66	$9.57	$23.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.10 / $28.93 / $35.47	Professional	TC	$20.10	$28.93	$35.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $52.19 / $84.77	Professional		$29.04	$52.19	$84.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $17.89 / $29.12	Professional	26	$10.57	$17.89	$29.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.02 / $35.96 / $57.43	Professional	TC	$21.02	$35.96	$57.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $14.94	Facility	26	$11.95	$11.95	$14.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $49.37 / $81.95	Professional		$31.29	$49.37	$81.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.93 / $15.56 / $27.01	Professional	26	$9.93	$15.56	$27.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.91 / $34.15 / $58.08	Professional	TC	$21.91	$34.15	$58.08
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 $262.00 / $262.00 / $316.64	Professional		$262.00	$262.00	$316.64
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.32 / $107.32 / $107.32	Professional	26	$107.32	$107.32	$107.32
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $233.18 / $249.00 / $249.00	Professional	TC	$233.18	$249.00	$249.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.76 / $71.33	Professional		$33.88	$42.76	$71.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $13.62 / $24.18	Professional	26	$10.97	$13.62	$24.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.05 / $28.56 / $48.53	Professional	TC	$23.05	$28.56	$48.53