Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.93 / $12.02 / $45.10	Facility	26	$6.93	$12.02	$45.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $28.49 / $49.20	Professional		$26.31	$28.49	$49.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $7.71 / $13.26	Professional	26	$6.93	$7.71	$13.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $21.03 / $36.24	Professional	TC	$19.38	$21.03	$36.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $32.58 / $54.18	Professional		$20.34	$32.58	$54.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.14 / $6.48 / $9.63	Professional	26	$6.14	$6.48	$9.63
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $40.18 / $40.18 / $40.18	Professional	TC	$40.18	$40.18	$40.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $40.50 / $69.55	Professional		$22.70	$40.50	$69.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $12.94 / $20.78	Professional	26	$7.70	$12.94	$20.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $28.72 / $51.22	Professional	TC	$17.60	$28.72	$51.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $10.31	Facility	26	$9.30	$9.30	$10.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $37.65 / $65.70	Professional		$25.75	$37.65	$65.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $11.83 / $19.27	Professional	26	$7.25	$11.83	$19.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $26.80 / $50.79	Professional	TC	$18.77	$26.80	$50.79
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 $210.99 / $210.99 / $283.88	Professional		$210.99	$210.99	$283.88
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.56 / $82.56 / $82.56	Professional	26	$82.56	$82.56	$82.56
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $159.97 / $159.97 / $216.15	Professional	TC	$159.97	$159.97	$216.15
United Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $34.63 / $61.71	Professional		$28.31	$34.63	$61.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $9.92 / $18.04	Professional	26	$8.27	$9.92	$18.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $24.19 / $44.02	Professional	TC	$19.57	$24.19	$44.02