Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.32 / $11.85 / $71.81	Facility	26	$11.32	$11.85	$71.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $50.07 / $102.70	Professional		$46.93	$50.07	$102.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $12.72 / $20.39	Professional	26	$11.07	$12.72	$20.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $37.26 / $66.61	Professional	TC	$34.14	$37.26	$66.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $61.17 / $61.17	Professional		$61.17	$61.17	$61.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $14.24 / $20.25	Professional	26	$9.82	$14.24	$20.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $72.20 / $124.11	Professional		$41.55	$72.20	$124.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.52 / $20.74 / $33.04	Professional	26	$12.52	$20.74	$33.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.75 / $52.26 / $95.39	Professional	TC	$33.75	$52.26	$95.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $16.42	Facility	26	$15.00	$15.00	$16.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $69.61 / $118.92	Professional		$46.23	$69.61	$118.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $19.14 / $30.70	Professional	26	$11.63	$19.14	$30.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.25 / $50.10 / $86.21	Professional	TC	$34.25	$50.10	$86.21
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 Professional Modifier Low / Median / High Price $379.94 / $379.94 / $511.80	Professional		$379.94	$379.94	$511.80
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.23 / $83.23 / $108.90	Professional	26	$83.23	$83.23	$108.90
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $296.70 / $296.70 / $402.90	Professional	TC	$296.70	$296.70	$402.90
United Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $61.86 / $108.49	Professional		$49.00	$61.86	$108.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.21 / $16.19 / $28.14	Professional	26	$13.21	$16.19	$28.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.92 / $42.59 / $80.13	Professional	TC	$34.92	$42.59	$80.13