Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $13.80 / $57.54	Facility	26	$9.33	$13.80	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $100.00	Professional		$30.90	$44.67	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $31.62	Professional	26	$7.94	$12.88	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $66.07	Professional	TC	$21.88	$31.62	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $61.66	Professional		$28.84	$51.29	$61.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.22 / $17.38	Professional	26	$8.13	$11.22	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $30.20 / $39.81	Professional	TC	$25.70	$30.20	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $87.10	Professional		$26.30	$43.65	$87.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $17.38 / $27.54	Professional	26	$10.72	$17.38	$27.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $45.71 / $70.79	Professional	TC	$26.92	$45.71	$70.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $87.10	Professional		$34.67	$51.29	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.45 / $24.55	Professional	26	$9.77	$14.45	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $64.57	Professional	TC	$25.70	$38.02	$64.57
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $338.84	Professional		$263.03	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	26	$117.49	$117.49	$117.49
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $257.04 / $257.04	Professional	TC	$208.93	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $75.86	Professional		$36.31	$45.71	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.59 / $21.88	Professional	26	$10.47	$12.59	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $53.70	Professional	TC	$25.70	$33.88	$53.70