Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.90 / $7.22 / $43.21	Facility	26	$6.90	$7.22	$43.21
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.67 / $27.84 / $61.96	Facility	TC	$16.67	$27.84	$61.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $25.32 / $43.60	Professional		$23.57	$25.32	$43.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $7.50 / $12.48	Professional	26	$6.90	$7.50	$12.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $18.11 / $30.56	Professional	TC	$16.67	$18.11	$30.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $8.56 / $14.76	Professional	26	$6.22	$8.56	$14.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $38.00 / $62.77	Professional		$20.86	$38.00	$62.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $12.47 / $19.91	Professional	26	$7.66	$12.47	$19.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.89 / $26.73 / $43.81	Professional	TC	$15.89	$26.73	$43.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.86	Facility	26	$9.19	$9.19	$9.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $21.66 / $21.66 / $24.18	Facility	TC	$21.66	$21.66	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $36.18 / $63.40	Professional		$23.91	$36.18	$63.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $11.42 / $18.47	Professional	26	$6.95	$11.42	$18.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.77 / $25.05 / $43.40	Professional	TC	$16.77	$25.05	$43.40
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 $50.00 / $118.47 / $118.47	Facility	TC	$50.00	$118.47	$118.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $187.12 / $250.20	Professional		$187.12	$187.12	$250.20
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.02 / $51.02 / $65.18	Professional	26	$51.02	$51.02	$65.18
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $136.11 / $136.11 / $185.03	Professional	TC	$136.11	$136.11	$185.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $32.22 / $55.86	Professional		$26.34	$32.22	$55.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $9.86 / $17.30	Professional	26	$8.06	$9.86	$17.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $22.37 / $38.47	Professional	TC	$18.07	$22.37	$38.47