Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.52 / $6.63 / $11.65	Facility	26	$1.52	$6.63	$11.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $21.53 / $40.61	Professional		$19.78	$21.53	$40.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $7.17 / $15.08	Professional	26	$6.63	$7.17	$15.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.15 / $14.78 / $27.23	Professional	TC	$13.15	$14.78	$27.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $35.93 / $36.99	Professional		$33.54	$35.93	$36.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $8.86 / $17.70	Professional	26	$5.67	$8.86	$17.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $31.15 / $52.28	Professional		$17.60	$31.15	$52.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $11.72 / $18.67	Professional	26	$7.02	$11.72	$18.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.53 / $21.09 / $35.21	Professional	TC	$11.53	$21.09	$35.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $9.05	Facility	26	$8.86	$8.86	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $28.90 / $50.86	Professional		$19.88	$28.90	$50.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $10.68 / $17.43	Professional	26	$6.67	$10.68	$17.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.98 / $19.43 / $35.11	Professional	TC	$12.98	$19.43	$35.11
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 $204.98 / $542.00 / $542.00	Professional		$204.98	$542.00	$542.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.74 / $62.74 / $62.74	Professional	26	$62.74	$62.74	$62.74
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $142.65 / $498.00 / $498.00	Professional	TC	$142.65	$498.00	$498.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $26.80 / $47.01	Professional		$22.09	$26.80	$47.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $9.48 / $16.22	Professional	26	$7.51	$9.48	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.43 / $17.32 / $30.38	Professional	TC	$14.43	$17.32	$30.38