Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.32 / $15.62 / $81.11	Facility	26	$11.32	$15.62	$81.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $53.11 / $111.00	Professional		$42.34	$53.11	$111.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $14.32 / $32.26	Professional	26	$11.32	$14.32	$32.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.01 / $35.72 / $63.64	Professional	TC	$31.01	$35.72	$63.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $61.92 / $82.07	Professional		$36.71	$61.92	$82.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $10.61 / $30.03	Professional	26	$9.68	$10.61	$30.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.16 / $46.22 / $53.30	Professional	TC	$24.16	$46.22	$53.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $67.97 / $111.94	Professional		$37.63	$67.97	$111.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.29 / $22.23 / $36.14	Professional	26	$13.29	$22.23	$36.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.42 / $45.79 / $84.85	Professional	TC	$27.42	$45.79	$84.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $18.54	Facility	26	$14.65	$14.65	$18.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $61.25 / $110.25	Professional		$42.05	$61.25	$110.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $19.37 / $33.59	Professional	26	$12.19	$19.37	$33.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.88 / $42.64 / $79.65	Professional	TC	$29.88	$42.64	$79.65
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $41.72 / $110.00 / $110.00	Facility	26	$41.72	$110.00	$110.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $343.08 / $343.08 / $453.98	Professional		$343.08	$343.08	$453.98
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $113.92 / $113.92 / $113.92	Professional	26	$113.92	$113.92	$113.92
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $259.85 / $259.85 / $349.13	Professional	TC	$259.85	$259.85	$349.13
United Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $56.03 / $97.07	Professional		$46.13	$56.03	$97.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.37 / $16.85 / $32.20	Professional	26	$13.37	$16.85	$32.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.87 / $39.84 / $69.30	Professional	TC	$31.87	$39.84	$69.30