Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.81 / $20.76 / $82.79	Facility	26	$12.81	$20.76	$82.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $54.86 / $104.95	Professional		$49.24	$54.86	$104.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $14.36 / $25.87	Professional	26	$12.51	$14.36	$25.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.43 / $39.46 / $70.02	Professional	TC	$36.43	$39.46	$70.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $93.67 / $94.09	Professional		$90.11	$93.67	$94.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $17.32 / $34.58	Professional	26	$11.09	$17.32	$34.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.71 / $27.71 / $32.60	Professional	TC	$27.71	$27.71	$32.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $80.20 / $134.71	Professional		$44.74	$80.20	$134.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $23.36 / $38.17	Professional	26	$14.14	$23.36	$38.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.60 / $56.76 / $98.33	Professional	TC	$35.60	$56.76	$98.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $18.93	Facility	26	$17.32	$17.32	$18.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $74.02 / $129.81	Professional		$49.32	$74.02	$129.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.31 / $21.68 / $35.39	Professional	26	$13.31	$21.68	$35.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.65 / $53.79 / $91.28	Professional	TC	$35.65	$53.79	$91.28
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $73.77 / $73.77	Facility	26	$50.00	$73.77	$73.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $395.03 / $395.03 / $522.08	Professional		$395.03	$395.03	$522.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.99 / $93.99 / $122.10	Professional	26	$93.99	$93.99	$122.10
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $301.02 / $301.02 / $400.05	Professional	TC	$301.02	$301.02	$400.05
United Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $65.53 / $113.83	Professional		$53.80	$65.53	$113.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.09 / $18.70 / $32.47	Professional	26	$15.09	$18.70	$32.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.96 / $46.83 / $82.17	Professional	TC	$37.96	$46.83	$82.17