Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.32 / $11.85 / $72.56	Facility	26	$11.32	$11.85	$72.56
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.90 / $38.24 / $83.08	Facility	TC	$22.90	$38.24	$83.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $36.22 / $63.41	Professional		$34.22	$36.22	$63.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $12.53 / $20.18	Professional	26	$10.80	$12.53	$20.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $24.82 / $41.42	Professional	TC	$22.75	$24.82	$41.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $44.95 / $64.09	Professional		$44.95	$44.95	$64.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $13.31 / $15.13	Professional	26	$10.03	$13.31	$15.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $55.80 / $93.60	Professional		$31.33	$55.80	$93.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $20.53 / $33.20	Professional	26	$12.63	$20.53	$33.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.11 / $35.11 / $63.54	Professional	TC	$21.11	$35.11	$63.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $16.57	Facility	26	$15.00	$15.00	$16.57
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.89 / $27.89 / $32.79	Facility	TC	$27.89	$27.89	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $51.44 / $89.20	Professional		$34.45	$51.44	$89.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $18.89 / $31.00	Professional	26	$11.66	$18.89	$31.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.37 / $32.95 / $57.00	Professional	TC	$22.37	$32.95	$57.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $30.85 / $70.00 / $70.00	Facility	26	$30.85	$70.00	$70.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $56.78 / $158.84 / $158.84	Facility	TC	$56.78	$158.84	$158.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $271.47 / $271.47 / $352.20	Professional		$271.47	$271.47	$352.20
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.06 / $81.06 / $104.93	Professional	26	$81.06	$81.06	$104.93
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $190.40 / $190.40 / $247.28	Professional	TC	$190.40	$190.40	$247.28
United Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $45.43 / $78.20	Professional		$36.22	$45.43	$78.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.09 / $16.19 / $29.54	Professional	26	$13.09	$16.19	$29.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.47 / $29.74 / $55.58	Professional	TC	$23.47	$29.74	$55.58