Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $53.70 / $56.23	Facility	26	$14.45	$53.70	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $75.86	Professional		$21.88	$33.11	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $25.70	Professional	26	$7.08	$10.00	$25.70
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $33.88 / $54.95	Professional	52	$30.20	$33.88	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $20.89 / $45.71	Professional	TC	$14.13	$20.89	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $51.29	Professional		$27.54	$44.67	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.47 / $14.79	Professional	26	$7.24	$10.47	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $30.90 / $30.90	Professional	TC	$30.90	$30.90	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $69.18	Professional		$23.99	$36.31	$69.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.49 / $25.12	Professional	26	$9.55	$15.49	$25.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $33.11 / $53.70	Professional	TC	$20.42	$33.11	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $69.18	Professional		$26.30	$39.81	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.88 / $22.39	Professional	26	$8.71	$12.88	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $28.18 / $48.98	Professional	TC	$18.62	$28.18	$48.98
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 $213.80 / $245.47 / $245.47	Professional		$213.80	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	26	$79.43	$79.43	$79.43
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $169.82 / $204.17	Professional	TC	$169.82	$169.82	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $63.10	Professional		$28.84	$37.15	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.22 / $19.05	Professional	26	$8.91	$11.22	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.70 / $44.67	Professional	TC	$19.50	$25.70	$44.67