Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.63 / $18.84 / $90.20	Facility	26	$11.63	$18.84	$90.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.65 / $40.95 / $80.84	Facility	TC	$25.65	$40.95	$80.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $42.46 / $75.06	Professional		$36.15	$42.46	$75.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $14.49 / $30.89	Professional	26	$11.63	$14.49	$30.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $28.17 / $49.53	Professional	TC	$24.52	$28.17	$49.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $43.51 / $43.51	Professional		$43.51	$43.51	$43.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $14.41 / $30.46	Professional	26	$9.94	$14.41	$30.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $63.19 / $103.23	Professional		$35.39	$63.19	$103.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.20 / $24.44 / $40.19	Professional	26	$14.20	$24.44	$40.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.73 / $40.17 / $65.66	Professional	TC	$23.73	$40.17	$65.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $20.61	Facility	26	$15.41	$15.41	$20.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.57 / $32.57 / $35.04	Facility	TC	$32.57	$32.57	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $59.42 / $99.45	Professional		$37.67	$59.42	$99.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $21.11 / $35.81	Professional	26	$12.76	$21.11	$35.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.13 / $38.65 / $66.62	Professional	TC	$25.13	$38.65	$66.62
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $100.00 / $100.00	Facility	26	$49.08	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $73.63 / $171.67 / $171.67	Facility	TC	$73.63	$171.67	$171.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $314.00 / $314.00 / $374.55	Professional		$314.00	$314.00	$374.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.32 / $107.32 / $107.48	Professional	26	$107.32	$107.32	$107.48
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $267.08 / $296.00 / $296.00	Professional	TC	$267.08	$296.00	$296.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $51.24 / $89.57	Professional		$41.17	$51.24	$89.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.06 / $18.36 / $30.48	Professional	26	$14.06	$18.36	$30.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.73 / $33.03 / $66.59	Professional	TC	$26.73	$33.03	$66.59