Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $52.50	Facility	26	$8.11	$8.11	$52.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $29.57 / $55.96	Professional		$26.95	$29.57	$55.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $9.02 / $15.95	Professional	26	$8.07	$9.02	$15.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.63 / $21.07 / $36.46	Professional	TC	$18.63	$21.07	$36.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $30.22 / $30.22	Professional		$30.22	$30.22	$30.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $8.65 / $10.84	Professional	26	$6.94	$8.65	$10.84
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.11 / $14.11 / $14.11	Professional	TC	$14.11	$14.11	$14.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $42.08 / $72.30	Professional		$23.40	$42.08	$72.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $14.67 / $23.79	Professional	26	$8.97	$14.67	$23.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $28.88 / $50.44	Professional	TC	$16.96	$28.88	$50.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $11.99	Facility	26	$10.80	$10.80	$11.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $41.43 / $69.56	Professional		$27.15	$41.43	$69.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $13.43 / $22.09	Professional	26	$8.43	$13.43	$22.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.50 / $27.98 / $48.32	Professional	TC	$18.50	$27.98	$48.32
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $100.00 / $100.00	Facility	26	$24.54	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $217.42 / $217.42 / $280.35	Professional		$217.42	$217.42	$280.35
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.64 / $72.64 / $75.53	Professional	26	$72.64	$72.64	$75.53
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $199.00 / $199.00 / $204.83	Professional	TC	$199.00	$199.00	$204.83
United Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $36.29 / $63.08	Professional		$29.88	$36.29	$63.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $11.99 / $21.30	Professional	26	$9.63	$11.99	$21.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.26 / $24.31 / $42.66	Professional	TC	$20.26	$24.31	$42.66