Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $100.00 / $281.84	Facility		$43.65	$100.00	$281.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $12.88 / $57.54	Facility	26	$9.33	$12.88	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $79.43	Professional		$21.88	$36.31	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.14 / $38.02	Professional	26	$8.91	$15.14	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.30 / $51.29	Professional	TC	$19.95	$26.30	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $50.12	Professional		$21.88	$27.54	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $19.95	Professional	26	$7.94	$10.00	$19.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.99 / $36.31	Professional	TC	$16.60	$23.99	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $35.48 / $72.44	Professional		$19.95	$35.48	$72.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.98 / $26.92	Professional	26	$10.72	$16.98	$26.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $32.36 / $57.54	Professional	TC	$20.42	$32.36	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $97.72	Facility		$44.67	$57.54	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $72.44	Professional		$29.51	$39.81	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $14.45 / $25.12	Professional	26	$9.55	$14.45	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $50.12	Professional	TC	$19.05	$27.54	$50.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $363.08	Facility		$234.42	$234.42	$363.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $309.03	Professional		$234.42	$309.03	$309.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $87.10 / $87.10	Professional	26	$83.18	$87.10	$87.10
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $223.87 / $223.87	Professional	TC	$190.55	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $81.28 / $95.50	Facility		$36.31	$81.28	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $66.07	Professional		$30.90	$36.31	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.30 / $21.88	Professional	26	$10.47	$12.30	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $24.55 / $44.67	Professional	TC	$19.50	$24.55	$44.67