Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.05 / $11.05 / $70.14	Facility	26	$11.05	$11.05	$70.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $39.14 / $65.63	Facility	TC	$23.44	$39.14	$65.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $37.47 / $64.50	Professional		$34.49	$37.47	$64.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.79 / $12.06 / $19.78	Professional	26	$10.79	$12.06	$19.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $25.42 / $41.21	Professional	TC	$23.17	$25.42	$41.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $41.56 / $41.56	Professional		$41.56	$41.56	$41.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $11.74 / $29.35	Professional	26	$9.44	$11.74	$29.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $56.65 / $94.34	Professional		$32.13	$56.65	$94.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.21 / $20.23 / $31.87	Professional	26	$12.21	$20.23	$31.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $35.40 / $63.82	Professional	TC	$22.21	$35.40	$63.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $16.03	Facility	26	$14.65	$14.65	$16.03
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $28.67 / $28.67 / $33.92	Facility	TC	$28.67	$28.67	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $51.84 / $89.69	Professional		$34.74	$51.84	$89.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.27 / $18.28 / $29.97	Professional	26	$11.27	$18.28	$29.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.97 / $33.64 / $57.86	Professional	TC	$22.97	$33.64	$57.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $30.22 / $70.00 / $70.00	Facility	26	$30.22	$70.00	$70.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $58.74 / $164.35 / $164.35	Facility	TC	$58.74	$164.35	$164.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $277.95 / $357.83	Professional		$277.95	$277.95	$357.83
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.06 / $81.06 / $102.08	Professional	26	$81.06	$81.06	$102.08
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $196.89 / $196.89 / $255.75	Professional	TC	$196.89	$196.89	$255.75
United Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $46.32 / $80.22	Professional		$37.21	$46.32	$80.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $15.80 / $27.42	Professional	26	$12.75	$15.80	$27.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $30.14 / $53.54	Professional	TC	$23.80	$30.14	$53.54