Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.86 / $16.01 / $63.47	Facility	26	$9.86	$16.01	$63.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $45.59 / $79.30	Professional		$42.79	$45.59	$79.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $10.61 / $17.68	Professional	26	$9.64	$10.61	$17.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.86 / $35.56 / $61.32	Professional	TC	$32.86	$35.56	$61.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $8.44 / $13.19	Professional	26	$8.44	$8.44	$13.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $66.03 / $113.11	Professional		$37.86	$66.03	$113.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $18.37 / $29.91	Professional	26	$11.01	$18.37	$29.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.53 / $49.20 / $88.14	Professional	TC	$31.53	$49.20	$88.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $14.50	Facility	26	$13.10	$13.10	$14.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $60.19 / $107.34	Professional		$41.08	$60.19	$107.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $16.32 / $26.93	Professional	26	$10.35	$16.32	$26.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.59 / $46.21 / $85.42	Professional	TC	$31.59	$46.21	$85.42
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 $345.31 / $345.31 / $446.25	Professional		$345.31	$345.31	$446.25
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $142.00 / $142.00 / $142.00	Professional	26	$142.00	$142.00	$142.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $272.83 / $272.83 / $354.75	Professional	TC	$272.83	$272.83	$354.75
United Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $55.99 / $98.02	Professional		$44.88	$55.99	$98.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.76 / $14.50 / $24.44	Professional	26	$11.76	$14.50	$24.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.52 / $42.56 / $74.68	Professional	TC	$32.52	$42.56	$74.68