Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.78 / $12.61 / $48.67	Facility	26	$7.78	$12.61	$48.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.01 / $30.09 / $132.86	Facility	TC	$18.01	$30.09	$132.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $28.55 / $56.11	Professional		$24.61	$28.55	$56.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $8.59 / $14.07	Professional	26	$7.78	$8.59	$14.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.02 / $19.71 / $31.70	Professional	TC	$18.02	$19.71	$31.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $49.50 / $49.50	Professional		$30.15	$49.50	$49.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.62 / $8.32 / $16.63	Professional	26	$6.62	$8.32	$16.63
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.86 / $32.86 / $32.86	Professional	TC	$32.86	$32.86	$32.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $41.27 / $68.22	Professional		$22.84	$41.27	$68.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $13.97 / $22.74	Professional	26	$8.63	$13.97	$22.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.25 / $28.27 / $49.29	Professional	TC	$17.25	$28.27	$49.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $11.13	Facility	26	$10.36	$10.36	$11.13
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.22 / $23.22 / $27.15	Facility	TC	$23.22	$23.22	$27.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $38.89 / $68.20	Professional		$26.28	$38.89	$68.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $12.87 / $20.81	Professional	26	$7.83	$12.87	$20.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.94 / $26.89 / $45.26	Professional	TC	$17.94	$26.89	$45.26
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $70.00 / $70.00	Facility	26	$50.00	$70.00	$70.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $51.52 / $133.13 / $133.13	Facility	TC	$51.52	$133.13	$133.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.77 / $208.77 / $280.80	Professional		$208.77	$208.77	$280.80
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.45 / $57.45 / $73.13	Professional	26	$57.45	$57.45	$73.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $151.32 / $151.32 / $207.68	Professional	TC	$151.32	$151.32	$207.68
United Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $34.61 / $60.54	Professional		$28.07	$34.61	$60.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $11.09 / $19.48	Professional	26	$8.96	$11.09	$19.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.73 / $23.92 / $42.20	Professional	TC	$18.73	$23.92	$42.20