Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.45 / $7.52 / $34.13	Facility	26	$5.45	$7.52	$34.13
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.75 / $105.00 / $262.63	Facility	TC	$17.75	$105.00	$262.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $27.20 / $59.00	Professional		$21.96	$27.20	$59.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $5.87 / $16.14	Professional	26	$5.45	$5.87	$16.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.75 / $21.01 / $39.53	Professional	TC	$17.75	$21.01	$39.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $42.89 / $45.68	Professional		$21.64	$42.89	$45.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.66 / $6.41 / $14.58	Professional	26	$4.66	$6.41	$14.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.44 / $32.44 / $32.44	Professional	TC	$32.44	$32.44	$32.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $38.90 / $62.48	Professional		$21.74	$38.90	$62.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.01 / $9.67 / $15.73	Professional	26	$6.01	$9.67	$15.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.51 / $29.31 / $46.80	Professional	TC	$17.51	$29.31	$46.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $7.31 / $7.80	Facility	26	$7.31	$7.31	$7.80
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.00 / $24.00 / $25.73	Facility	TC	$24.00	$24.00	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $33.18 / $63.15	Professional		$22.75	$33.18	$63.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.52 / $9.02 / $14.58	Professional	26	$5.52	$9.02	$14.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.87 / $25.55 / $48.82	Professional	TC	$16.87	$25.55	$48.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $17.18 / $100.00 / $100.00	Facility	26	$17.18	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $47.96 / $123.98 / $123.98	Facility	TC	$47.96	$123.98	$123.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $187.25 / $187.25 / $245.33	Professional		$187.25	$187.25	$245.33
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.49 / $54.49 / $54.49	Professional	26	$54.49	$54.49	$54.49
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $146.99 / $146.99 / $193.58	Professional	TC	$146.99	$146.99	$193.58
United Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $30.94 / $54.28	Professional		$23.94	$30.94	$54.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $7.51 / $13.67	Professional	26	$6.19	$7.51	$13.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.41 / $23.15 / $40.69	Professional	TC	$17.41	$23.15	$40.69