Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.24 / $12.66 / $93.98	Facility	26	$12.24	$12.66	$93.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $60.68 / $107.38	Professional		$49.75	$60.68	$107.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $15.71 / $30.22	Professional	26	$12.24	$15.71	$30.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.97 / $43.99 / $71.52	Professional	TC	$36.97	$43.99	$71.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $70.95 / $92.59	Professional		$60.04	$70.95	$92.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $14.56 / $32.44	Professional	26	$10.60	$14.56	$32.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $82.15 / $130.76	Professional		$45.02	$82.15	$130.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.84 / $25.49 / $41.88	Professional	26	$14.84	$25.49	$41.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.26 / $58.55 / $98.59	Professional	TC	$34.26	$58.55	$98.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $21.48	Facility	26	$16.57	$16.57	$21.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $75.65 / $131.63	Professional		$51.08	$75.65	$131.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.47 / $22.27 / $38.04	Professional	26	$13.47	$22.27	$38.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.72 / $52.62 / $96.14	Professional	TC	$37.72	$52.62	$96.14
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $126.00 / $126.00	Facility	26	$49.08	$126.00	$126.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $399.42 / $399.42 / $522.38	Professional		$399.42	$399.42	$522.38
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $137.04 / $137.04 / $220.00	Professional	26	$137.04	$137.04	$220.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $356.00 / $356.00 / $405.68	Professional	TC	$356.00	$356.00	$405.68
United Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $65.88 / $115.59	Professional		$54.90	$65.88	$115.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $19.32 / $32.51	Professional	26	$14.75	$19.32	$32.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.00 / $48.00 / $84.22	Professional	TC	$40.00	$48.00	$84.22