Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $12.88 / $48.98	Facility	26	$9.33	$12.88	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $87.10	Professional		$28.84	$42.66	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.80 / $26.30	Professional	26	$7.94	$13.80	$26.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $58.88	Professional	TC	$20.89	$28.84	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $67.61	Professional		$29.51	$41.69	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $17.78	Professional	26	$7.94	$10.00	$17.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $27.54 / $41.69	Professional	TC	$16.98	$27.54	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $75.86	Professional		$23.44	$37.15	$75.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.14 / $26.92	Professional	26	$9.55	$15.14	$26.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $35.48 / $63.10	Professional	TC	$22.39	$35.48	$63.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.22	Facility	26	$11.22	$11.22	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $72.44	Professional		$30.20	$41.69	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.88 / $22.91	Professional	26	$8.91	$12.88	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.20 / $54.95	Professional	TC	$21.38	$30.20	$54.95
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 $251.19 / $331.13 / $331.13	Professional		$251.19	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	26	$97.72	$97.72	$97.72
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $245.47 / $245.47	Professional	TC	$181.97	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $70.79	Professional		$31.62	$38.90	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.75 / $22.39	Professional	26	$9.33	$11.75	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $26.92 / $47.86	Professional	TC	$22.39	$26.92	$47.86