Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.44 / $10.45 / $56.07	Facility	26	$10.44	$10.45	$56.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $39.33 / $71.78	Professional		$33.61	$39.33	$71.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $10.93 / $19.54	Professional	26	$9.75	$10.93	$19.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $27.21 / $45.07	Professional	TC	$23.17	$27.21	$45.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $38.13 / $62.80	Professional		$29.70	$38.13	$62.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $12.95 / $20.09	Professional	26	$8.93	$12.95	$20.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $55.41 / $91.96	Professional		$30.09	$55.41	$91.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $16.88 / $28.49	Professional	26	$10.30	$16.88	$28.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $39.15 / $63.27	Professional	TC	$22.87	$39.15	$63.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.82 / $12.82 / $13.86	Facility	26	$12.82	$12.82	$13.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $49.02 / $88.14	Professional		$33.45	$49.02	$88.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $15.52 / $25.60	Professional	26	$9.84	$15.52	$25.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.66 / $35.24 / $64.48	Professional	TC	$23.66	$35.24	$64.48
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 $271.52 / $271.52 / $352.65	Professional		$271.52	$271.52	$352.65
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $97.41 / $97.41 / $97.41	Professional	26	$97.41	$97.41	$97.41
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $210.00 / $210.00 / $255.75	Professional	TC	$210.00	$210.00	$255.75
United Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $45.06 / $77.19	Professional		$37.03	$45.06	$77.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $13.90 / $25.13	Professional	26	$10.75	$13.90	$25.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.11 / $30.54 / $54.22	Professional	TC	$25.11	$30.54	$54.22