Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $13.85 / $17.89	Facility	26	$9.57	$13.85	$17.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.87 / $56.53 / $311.13	Facility	TC	$20.87	$56.53	$311.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $32.64 / $63.94	Professional		$29.76	$32.64	$63.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $10.82 / $23.46	Professional	26	$9.57	$10.82	$23.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $21.82 / $44.93	Professional	TC	$19.89	$21.82	$44.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $35.99 / $55.64	Professional		$26.17	$35.99	$55.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $11.86 / $25.43	Professional	26	$8.18	$11.86	$25.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $15.29 / $15.29	Professional	TC	$15.29	$15.29	$15.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $46.67 / $81.40	Professional		$25.87	$46.67	$81.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.46 / $17.30 / $27.20	Professional	26	$10.46	$17.30	$27.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.13 / $30.40 / $53.36	Professional	TC	$19.13	$30.40	$53.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $13.68	Facility	26	$12.36	$12.36	$13.68
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.17 / $25.17 / $29.08	Facility	TC	$25.17	$25.17	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $44.73 / $77.58	Professional		$30.03	$44.73	$77.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $15.71 / $26.02	Professional	26	$9.63	$15.71	$26.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.67 / $28.69 / $50.28	Professional	TC	$19.67	$28.69	$50.28
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $26.10 / $70.00 / $70.00	Facility	26	$26.10	$70.00	$70.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $50.86 / $142.31 / $142.31	Facility	TC	$50.86	$142.31	$142.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $236.84 / $236.84 / $310.73	Professional		$236.84	$236.84	$310.73
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.37 / $70.37 / $88.88	Professional	26	$70.37	$70.37	$88.88
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $166.53 / $166.53 / $221.85	Professional	TC	$166.53	$166.53	$221.85
United Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $39.00 / $67.65	Professional		$31.87	$39.00	$67.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.68 / $23.71	Professional	26	$10.96	$13.68	$23.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $26.24 / $46.05	Professional	TC	$20.42	$26.24	$46.05