Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.72 / $84.68	Facility	26	$13.10	$13.72	$84.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $47.68 / $78.98	Professional		$42.24	$47.68	$78.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $14.36 / $23.80	Professional	26	$13.10	$14.36	$23.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.75 / $34.09 / $55.55	Professional	TC	$28.75	$34.09	$55.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $72.56 / $72.56	Professional		$36.02	$72.56	$72.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $14.15 / $35.38	Professional	26	$11.34	$14.15	$35.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $70.63 / $115.55	Professional		$37.38	$70.63	$115.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.48 / $23.83 / $38.43	Professional	26	$14.48	$23.83	$38.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.73 / $47.42 / $78.01	Professional	TC	$27.73	$47.42	$78.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $17.71 / $19.36	Facility	26	$17.71	$17.71	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $63.49 / $109.44	Professional		$43.09	$63.49	$109.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $21.94 / $36.20	Professional	26	$13.61	$21.94	$36.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.58 / $43.15 / $77.73	Professional	TC	$29.58	$43.15	$77.73
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $46.63 / $100.00 / $100.00	Facility	26	$46.63	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.57 / $338.57 / $439.80	Professional		$338.57	$338.57	$439.80
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.24 / $117.24 / $124.65	Professional	26	$117.24	$117.24	$124.65
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $291.00 / $291.00 / $315.14	Professional	TC	$291.00	$291.00	$315.14
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.04 / $114.19	Professional		$46.77	$57.04	$114.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.24 / $18.57 / $32.20	Professional	26	$15.24	$18.57	$32.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.59 / $37.90 / $66.51	Professional	TC	$31.59	$37.90	$66.51