Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.81 / $18.54 / $23.95	Facility	26	$12.81	$18.54	$23.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $60.83 / $132.00	Professional		$56.01	$60.83	$132.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $15.01 / $30.89	Professional	26	$12.81	$15.01	$30.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $45.70 / $82.50	Professional	TC	$42.39	$45.70	$82.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $102.96 / $106.57	Professional		$71.13	$102.96	$106.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $19.39 / $34.58	Professional	26	$11.09	$19.39	$34.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.64 / $74.68 / $74.68	Professional	TC	$32.64	$74.68	$74.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $87.09 / $148.07	Professional		$50.89	$87.09	$148.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $23.76 / $38.17	Professional	26	$14.14	$23.76	$38.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.25 / $64.19 / $107.64	Professional	TC	$39.25	$64.19	$107.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $18.93	Facility	26	$17.32	$17.32	$18.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $82.75 / $143.59	Professional		$54.20	$82.75	$143.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.31 / $21.68 / $35.39	Professional	26	$13.31	$21.68	$35.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.83 / $61.37 / $105.15	Professional	TC	$41.83	$61.37	$105.15
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $73.77 / $73.77	Facility	26	$50.00	$73.77	$73.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $453.03 / $453.03 / $592.79	Professional		$453.03	$453.03	$592.79
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.54 / $95.54 / $122.10	Professional	26	$95.54	$95.54	$122.10
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $357.49 / $357.49 / $470.78	Professional	TC	$357.49	$357.49	$470.78
United Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $74.69 / $151.81	Professional		$58.81	$74.69	$151.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.27 / $18.91 / $34.01	Professional	26	$15.27	$18.91	$34.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.13 / $55.61 / $97.86	Professional	TC	$43.13	$55.61	$97.86