Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $24.55 / $107.15	Facility	26	$16.98	$24.55	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $194.98	Professional		$70.79	$97.72	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $23.99 / $58.88	Professional	26	$15.85	$23.99	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $70.79 / $138.04	Professional	TC	$51.29	$70.79	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $134.90	Professional		$72.44	$89.13	$134.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $32.36 / $38.90	Professional	26	$32.36	$32.36	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $190.55	Professional		$53.70	$89.13	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $31.62 / $50.12	Professional	26	$19.50	$31.62	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $89.13 / $173.78	Professional	TC	$56.23	$89.13	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	26	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $190.55	Professional		$74.13	$107.15	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $26.92 / $45.71	Professional	26	$17.78	$26.92	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $79.43 / $147.91	Professional	TC	$54.95	$79.43	$147.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $831.76	Professional		$630.96	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $162.18 / $162.18	Professional	26	$128.82	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $660.69 / $660.69	Professional	TC	$512.86	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $173.78	Professional		$75.86	$95.50	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $40.74	Professional	26	$19.05	$22.91	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $70.79 / $131.83	Professional	TC	$54.95	$70.79	$131.83