Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $22.39 / $79.43	Facility	26	$12.30	$22.39	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $95.50	Professional		$33.11	$45.71	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.85 / $39.81	Professional	26	$10.96	$15.85	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $57.54	Professional	TC	$21.88	$28.84	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $64.57	Professional		$28.18	$32.36	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.13 / $23.99	Professional	26	$10.23	$14.13	$23.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $24.55 / $29.51	Professional	TC	$19.95	$24.55	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $85.11	Professional		$25.12	$41.69	$85.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $20.42 / $34.67	Professional	26	$13.18	$20.42	$34.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $37.15 / $67.61	Professional	TC	$23.99	$37.15	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $17.38 / $17.38	Facility	26	$17.38	$17.38	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $85.11	Professional		$34.67	$50.12	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $18.20 / $32.36	Professional	26	$12.30	$18.20	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.88 / $57.54	Professional	TC	$22.39	$33.88	$57.54
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 $281.84 / $363.08 / $363.08	Professional		$281.84	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $109.65 / $109.65	Professional	26	$100.00	$109.65	$109.65
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $257.04 / $257.04	Professional	TC	$251.19	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $81.28	Professional		$37.15	$45.71	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.49 / $28.84	Professional	26	$12.88	$15.49	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $30.20 / $51.29	Professional	TC	$23.44	$30.20	$51.29