Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $15.08 / $17.39	Facility	26	$9.30	$15.08	$17.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $36.79 / $73.28	Professional		$31.38	$36.79	$73.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $9.98 / $23.04	Professional	26	$9.30	$9.98	$23.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.08 / $25.62 / $45.30	Professional	TC	$22.08	$25.62	$45.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $52.79 / $57.34	Professional		$27.80	$52.79	$57.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $11.52 / $24.73	Professional	26	$7.95	$11.52	$24.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.87 / $16.87 / $35.22	Professional	TC	$16.87	$16.87	$35.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $50.35 / $85.36	Professional		$27.62	$50.35	$85.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.91 / $16.14 / $26.19	Professional	26	$9.91	$16.14	$26.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $35.11 / $58.23	Professional	TC	$20.93	$35.11	$58.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.86	Facility	26	$12.36	$12.36	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $46.88 / $78.53	Professional		$31.86	$46.88	$78.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $15.20 / $24.42	Professional	26	$9.35	$15.20	$24.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $33.04 / $58.21	Professional	TC	$22.36	$33.04	$58.21
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $100.00 / $100.00	Facility	26	$34.36	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $252.05 / $252.05 / $330.53	Professional		$252.05	$252.05	$330.53
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $92.47 / $92.47 / $92.47	Professional	26	$92.47	$92.47	$92.47
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $226.00 / $226.00 / $244.43	Professional	TC	$226.00	$226.00	$244.43
United Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $42.65 / $74.83	Professional		$35.08	$42.65	$74.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.68 / $24.01	Professional	26	$10.72	$13.68	$24.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.14 / $28.97 / $50.82	Professional	TC	$24.14	$28.97	$50.82