Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $10.96 / $74.13	Facility	26	$10.96	$10.96	$74.13
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $35.48 / $125.89	Facility	TC	$23.44	$35.48	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $83.18	Professional		$32.36	$40.74	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $32.36	Professional	26	$10.00	$14.13	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.92 / $51.29	Professional	TC	$20.89	$26.92	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $41.69	Professional		$23.99	$35.48	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.75 / $29.51	Professional	26	$9.33	$11.75	$29.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $27.54 / $38.90	Professional	TC	$21.88	$27.54	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $85.11	Professional		$22.91	$42.66	$85.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.89 / $32.36	Professional	26	$12.88	$20.89	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.02 / $67.61	Professional	TC	$23.99	$38.02	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $15.85 / $15.85	Facility	26	$15.85	$15.85	$15.85
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $28.84 / $28.84	Facility	TC	$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $89.13	Professional		$34.67	$48.98	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $17.78 / $30.20	Professional	26	$11.22	$17.78	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $57.54	Professional	TC	$22.91	$32.36	$57.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Facility	26	$81.28	$81.28	$81.28
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	TC	$194.98	$194.98	$194.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $354.81	Professional		$275.42	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $102.33 / $102.33	Professional	26	$81.28	$102.33	$102.33
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $257.04 / $257.04	Professional	TC	$194.98	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $77.62	Professional		$36.31	$43.65	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.49 / $26.30	Professional	26	$12.59	$15.49	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.18 / $51.29	Professional	TC	$22.91	$28.18	$51.29