Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $15.14 / $70.79	Facility	26	$10.96	$15.14	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $104.71	Professional		$25.12	$44.67	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.60 / $35.48	Professional	26	$10.47	$16.60	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $72.44	Professional	TC	$21.88	$30.90	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $54.95	Professional		$26.92	$36.31	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.02 / $20.42	Professional	26	$9.55	$12.02	$20.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.18 / $38.02	Professional	TC	$19.50	$28.18	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $83.18	Professional		$24.55	$39.81	$83.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.42 / $32.36	Professional	26	$12.88	$20.42	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $36.31 / $66.07	Professional	TC	$22.91	$36.31	$66.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $15.85 / $15.85	Facility	26	$15.85	$15.85	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $83.18	Professional		$33.88	$46.77	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $16.98 / $31.62	Professional	26	$11.48	$16.98	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $56.23	Professional	TC	$21.38	$30.90	$56.23
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 $269.15 / $354.81 / $354.81	Professional		$269.15	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $102.33 / $102.33	Professional	26	$93.33	$102.33	$102.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $251.19 / $251.19	Professional	TC	$229.09	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $75.86	Professional		$35.48	$42.66	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $14.79 / $26.30	Professional	26	$12.30	$14.79	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $27.54 / $50.12	Professional	TC	$22.91	$27.54	$50.12