Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $15.49 / $81.28	Facility	26	$11.22	$15.49	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $158.49	Professional		$41.69	$69.18	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.50 / $48.98	Professional	26	$10.96	$19.50	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $44.67 / $89.13	Professional	TC	$30.90	$44.67	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $79.43	Professional		$33.11	$43.65	$79.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.88 / $30.20	Professional	26	$9.77	$12.88	$30.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $37.15 / $56.23	Professional	TC	$26.30	$37.15	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $50.12 / $102.33	Professional		$29.51	$50.12	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $22.91 / $37.15	Professional	26	$14.45	$22.91	$37.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $48.98 / $87.10	Professional	TC	$29.51	$48.98	$87.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $18.62 / $18.62	Facility	26	$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $104.71	Professional		$42.66	$58.88	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.05 / $33.88	Professional	26	$12.88	$19.05	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $40.74 / $75.86	Professional	TC	$29.51	$40.74	$75.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $457.09	Professional		$346.74	$457.09	$457.09
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Professional	26	$114.82	$114.82	$114.82
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $346.74 / $346.74	Professional	TC	$257.04	$346.74	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $93.33	Professional		$44.67	$53.70	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.60 / $27.54	Professional	26	$12.88	$16.60	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $37.15 / $67.61	Professional	TC	$30.20	$37.15	$67.61