Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $13.89 / $57.96	Facility	26	$9.25	$13.89	$57.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $41.23 / $72.81	Professional		$32.70	$41.23	$72.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $10.19 / $19.42	Professional	26	$9.23	$10.19	$19.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.12 / $51.90	Professional	TC	$23.44	$28.12	$51.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $59.19 / $61.80	Professional		$59.19	$59.19	$61.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $12.38 / $24.60	Professional	26	$7.97	$12.38	$24.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $48.92 / $48.92 / $48.92	Professional	TC	$48.92	$48.92	$48.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $60.39 / $90.77	Professional		$31.10	$60.39	$90.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $17.00 / $26.72	Professional	26	$10.28	$17.00	$26.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.98 / $43.67 / $65.03	Professional	TC	$23.98	$43.67	$65.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $13.25	Facility	26	$12.30	$12.30	$13.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $53.75 / $89.32	Professional		$33.83	$53.75	$89.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $15.33 / $24.78	Professional	26	$9.65	$15.33	$24.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.45 / $39.06 / $64.55	Professional	TC	$24.45	$39.06	$64.55
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $31.90 / $100.00 / $100.00	Facility	26	$31.90	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $262.94 / $264.31 / $342.08	Professional		$262.94	$264.31	$342.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.24 / $117.24 / $117.24	Professional	26	$117.24	$117.24	$117.24
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $201.73 / $207.78 / $255.75	Professional	TC	$201.73	$207.78	$255.75
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $46.19 / $88.03	Professional		$36.79	$46.19	$88.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $13.25 / $23.02	Professional	26	$10.75	$13.25	$23.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.10 / $34.19 / $57.02	Professional	TC	$26.10	$34.19	$57.02