Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.50 / $18.76 / $25.74	Facility	26	$12.50	$18.76	$25.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $67.39 / $117.77	Professional		$49.75	$67.39	$117.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $14.96 / $23.56	Professional	26	$12.51	$14.96	$23.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.25 / $47.78 / $80.86	Professional	TC	$37.25	$47.78	$80.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $70.20 / $102.78	Professional		$59.40	$70.20	$102.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $14.88 / $33.78	Professional	26	$10.83	$14.88	$33.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $88.65 / $139.16	Professional		$48.61	$88.65	$139.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.29 / $24.53 / $39.03	Professional	26	$14.29	$24.53	$39.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.10 / $65.33 / $100.27	Professional	TC	$38.10	$65.33	$100.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $19.36	Facility	26	$16.57	$16.57	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $78.47 / $133.53	Professional		$51.34	$78.47	$133.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $21.65 / $36.20	Professional	26	$13.61	$21.65	$36.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.60 / $57.92 / $100.65	Professional	TC	$38.60	$57.92	$100.65
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $126.00 / $126.00	Facility	26	$49.08	$126.00	$126.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $399.42 / $399.42 / $516.67	Professional		$399.42	$399.42	$516.67
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $151.90 / $151.90 / $151.90	Professional	26	$151.90	$151.90	$151.90
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $307.58 / $307.58 / $397.20	Professional	TC	$307.58	$307.58	$397.20
United Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $70.98 / $137.04	Professional		$54.90	$70.98	$137.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $19.07 / $31.60	Professional	26	$14.75	$19.07	$31.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.27 / $50.92 / $100.00	Professional	TC	$40.27	$50.92	$100.00