Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.08 / $13.68 / $83.53	Facility	26	$13.08	$13.68	$83.53
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.80 / $39.60 / $127.16	Facility	TC	$24.80	$39.60	$127.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $38.90 / $64.53	Professional		$36.79	$38.90	$64.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $14.44 / $22.75	Professional	26	$12.51	$14.44	$22.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $25.71 / $39.01	Professional	TC	$23.51	$25.71	$39.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $69.81 / $69.81	Professional		$69.81	$69.81	$69.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $28.53 / $28.53	Professional	26	$11.32	$28.53	$28.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $59.30 / $96.67	Professional		$32.35	$59.30	$96.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.58 / $24.12 / $37.97	Professional	26	$14.58	$24.12	$37.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.76 / $36.54 / $63.49	Professional	TC	$22.76	$36.54	$63.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $19.09	Facility	26	$16.60	$16.60	$19.09
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.06 / $29.06 / $35.04	Facility	TC	$29.06	$29.06	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $56.09 / $96.26	Professional		$37.50	$56.09	$96.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $21.50 / $35.70	Professional	26	$13.42	$21.50	$35.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.73 / $34.64 / $59.48	Professional	TC	$23.73	$34.64	$59.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $34.97 / $72.72 / $72.72	Facility	26	$34.97	$72.72	$72.72
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $60.70 / $169.86 / $169.86	Facility	TC	$60.70	$169.86	$169.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $297.38 / $297.38 / $382.35	Professional		$297.38	$297.38	$382.35
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.99 / $93.99 / $118.05	Professional	26	$93.99	$93.99	$118.05
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $203.39 / $203.39 / $264.23	Professional	TC	$203.39	$203.39	$264.23
United Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $49.39 / $84.54	Professional		$39.65	$49.39	$84.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.27 / $19.07 / $32.11	Professional	26	$15.27	$19.07	$32.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.14 / $30.24 / $54.23	Professional	TC	$24.14	$30.24	$54.23