Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.68 / $15.28 / $57.96	Facility	26	$8.68	$15.28	$57.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $32.92 / $68.36	Professional		$27.79	$32.92	$68.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $10.19 / $18.86	Professional	26	$8.69	$10.19	$18.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $22.87 / $42.63	Professional	TC	$19.10	$22.87	$42.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $55.08 / $55.08	Professional		$20.82	$55.08	$55.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $15.89 / $23.13	Professional	26	$7.43	$15.89	$23.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $44.07 / $76.04	Professional		$23.57	$44.07	$76.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $16.87 / $25.94	Professional	26	$9.69	$16.87	$25.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $28.99 / $51.17	Professional	TC	$17.28	$28.99	$51.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $13.25	Facility	26	$11.56	$11.56	$13.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $43.24 / $75.22	Professional		$28.36	$43.24	$75.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $14.74 / $24.56	Professional	26	$9.11	$14.74	$24.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.72 / $29.31 / $51.61	Professional	TC	$19.72	$29.31	$51.61
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $100.00 / $100.00	Facility	26	$36.81	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $223.92 / $223.92 / $291.45	Professional		$223.92	$223.92	$291.45
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 $210.53 / $211.00 / $211.00	Professional	TC	$210.53	$211.00	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $37.90 / $65.48	Professional		$31.58	$37.90	$65.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $12.82 / $22.38	Professional	26	$10.63	$12.82	$22.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.90 / $25.08 / $44.00	Professional	TC	$20.90	$25.08	$44.00