Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $58.88	Facility	26	$10.23	$10.23	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $87.10	Professional		$33.11	$44.67	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.59 / $25.70	Professional	26	$8.91	$12.59	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $60.26	Professional	TC	$23.99	$32.36	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $67.61	Professional		$29.51	$44.67	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.96 / $26.92	Professional	26	$8.71	$10.96	$26.92
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $42.66 / $42.66	Professional	TC	$42.66	$42.66	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $87.10	Professional		$30.90	$42.66	$87.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.38 / $29.51	Professional	26	$10.96	$17.38	$29.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $44.67 / $74.13	Professional	TC	$27.54	$44.67	$74.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $12.88	Facility	26	$12.88	$12.88	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $89.13	Professional		$36.31	$51.29	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.45 / $25.70	Professional	26	$10.00	$14.45	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.90 / $69.18	Professional	TC	$25.70	$38.90	$69.18
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $371.54	Professional		$288.40	$371.54	$371.54
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $281.84 / $281.84	Professional	TC	$269.15	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $81.28	Professional		$38.90	$47.86	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.59 / $23.99	Professional	26	$10.72	$12.59	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $33.88 / $56.23	Professional	TC	$27.54	$33.88	$56.23