Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.88 / $93.33	Facility	26	$12.30	$12.88	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $154.88	Professional		$46.77	$74.13	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.50 / $58.88	Professional	26	$12.02	$19.50	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $50.12 / $93.33	Professional	TC	$34.67	$50.12	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $95.50	Professional		$42.66	$64.57	$95.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.49 / $24.55	Professional	26	$10.72	$13.49	$24.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $45.71 / $72.44	Professional	TC	$35.48	$45.71	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $125.89	Professional		$39.81	$60.26	$125.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $25.70 / $42.66	Professional	26	$16.22	$25.70	$42.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $60.26 / $104.71	Professional	TC	$36.31	$60.26	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $21.38 / $21.38	Facility	26	$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $125.89	Professional		$51.29	$72.44	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $21.38 / $37.15	Professional	26	$13.80	$21.38	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $51.29 / $93.33	Professional	TC	$36.31	$51.29	$93.33
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $524.81	Professional		$398.11	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $218.78 / $218.78	Professional	26	$138.04	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $407.38 / $407.38	Professional	TC	$354.81	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $112.20	Professional		$53.70	$66.07	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $18.62 / $30.90	Professional	26	$14.45	$18.62	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $46.77 / $81.28	Professional	TC	$38.02	$46.77	$81.28