Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.83 / $17.39 / $93.77	Facility	26	$14.83	$17.39	$93.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $67.09 / $135.71	Professional		$61.64	$67.09	$135.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $15.69 / $26.57	Professional	26	$14.51	$15.69	$26.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $51.41 / $91.72	Professional	TC	$46.00	$51.41	$91.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $77.43 / $105.00	Professional		$54.19	$77.43	$105.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $13.09 / $30.87	Professional	26	$12.68	$13.09	$30.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $96.20 / $173.60	Professional		$56.30	$96.20	$173.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.86 / $25.71 / $41.67	Professional	26	$15.86	$25.71	$41.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.88 / $70.98 / $130.19	Professional	TC	$44.88	$70.98	$130.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $19.60 / $21.44	Facility	26	$19.60	$19.60	$21.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $94.25 / $159.28	Professional		$61.74	$94.25	$159.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $23.92 / $40.09	Professional	26	$14.92	$23.92	$40.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.90 / $69.43 / $119.20	Professional	TC	$46.90	$69.43	$119.20
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $84.60 / $84.60	Facility	26	$50.00	$84.60	$84.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $507.76 / $507.76 / $673.88	Professional		$507.76	$507.76	$673.88
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $109.02 / $109.02 / $136.88	Professional	26	$109.02	$109.02	$136.88
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $398.67 / $398.67 / $537.00	Professional	TC	$398.67	$398.67	$537.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $85.34 / $149.41	Professional		$64.33	$85.34	$149.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $21.42 / $37.54	Professional	26	$17.14	$21.42	$37.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.06 / $61.83 / $114.89	Professional	TC	$47.06	$61.83	$114.89