Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $14.79 / $81.28	Facility	26	$10.72	$14.79	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $158.49	Professional		$39.81	$69.18	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $19.50 / $51.29	Professional	26	$10.47	$19.50	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $45.71 / $85.11	Professional	TC	$30.20	$45.71	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $75.86	Professional		$33.88	$43.65	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.02 / $21.38	Professional	26	$9.33	$12.02	$21.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $54.95	Professional	TC	$25.70	$37.15	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $107.15	Professional		$30.20	$51.29	$107.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $21.88 / $36.31	Professional	26	$14.13	$21.88	$36.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $51.29 / $85.11	Professional	TC	$31.62	$51.29	$85.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $18.62 / $18.62	Facility	26	$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $107.15	Professional		$42.66	$60.26	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $33.11	Professional	26	$12.02	$18.62	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $42.66 / $77.62	Professional	TC	$30.20	$42.66	$77.62
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $436.52	Professional		$331.13	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $190.55 / $190.55	Professional	26	$120.23	$190.55	$190.55
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $331.13 / $331.13	Professional	TC	$295.12	$331.13	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $93.33	Professional		$44.67	$53.70	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.22 / $26.92	Professional	26	$12.59	$16.22	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $38.02 / $66.07	Professional	TC	$31.62	$38.02	$66.07