Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.17 / $10.17 / $56.28	Facility	26	$10.17	$10.17	$56.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $40.39 / $72.81	Professional		$35.47	$40.39	$72.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.53 / $18.19	Professional	26	$9.41	$10.53	$18.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.59 / $29.30 / $48.57	Professional	TC	$25.59	$29.30	$48.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $11.96 / $27.05	Professional	26	$8.69	$11.96	$27.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $58.04 / $96.61	Professional		$31.67	$58.04	$96.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $16.78 / $28.25	Professional	26	$9.98	$16.78	$28.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.87 / $42.18 / $70.04	Professional	TC	$24.87	$42.18	$70.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.86 / $12.86 / $13.50	Facility	26	$12.86	$12.86	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $54.39 / $92.64	Professional		$36.54	$54.39	$92.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $15.35 / $25.91	Professional	26	$10.07	$15.35	$25.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.47 / $39.15 / $69.47	Professional	TC	$26.47	$39.15	$69.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $29.45 / $103.00 / $103.00	Facility	26	$29.45	$103.00	$103.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $286.68 / $286.68 / $375.30	Professional		$286.68	$286.68	$375.30
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.32 / $107.32 / $107.32	Professional	26	$107.32	$107.32	$107.32
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $267.00 / $267.00 / $281.25	Professional	TC	$267.00	$267.00	$281.25
United Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $47.78 / $83.84	Professional		$39.69	$47.78	$83.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $13.35 / $26.55	Professional	26	$10.99	$13.35	$26.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.70 / $34.51 / $58.31	Professional	TC	$27.70	$34.51	$58.31