Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $21.26 / $24.52	Facility	26	$13.10	$21.26	$24.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $44.07 / $80.58	Professional		$40.07	$44.07	$80.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.09 / $14.39 / $24.52	Professional	26	$13.09	$14.39	$24.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.96 / $30.03 / $53.16	Professional	TC	$26.96	$30.03	$53.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $67.63 / $67.63	Professional		$45.39	$67.63	$67.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $14.24 / $35.38	Professional	26	$11.34	$14.24	$35.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $37.22 / $37.22	Professional	TC	$20.42	$37.22	$37.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $67.73 / $109.25	Professional		$37.97	$67.73	$109.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $23.43 / $37.97	Professional	26	$14.44	$23.43	$37.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.41 / $44.51 / $73.75	Professional	TC	$27.41	$44.51	$73.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $18.97	Facility	26	$17.36	$17.36	$18.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $59.14 / $103.32	Professional		$40.95	$59.14	$103.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.44 / $21.83 / $35.47	Professional	26	$13.44	$21.83	$35.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.52 / $38.47 / $69.75	Professional	TC	$26.52	$38.47	$69.75
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $46.63 / $100.00 / $100.00	Facility	26	$46.63	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $321.19 / $321.19 / $420.00	Professional		$321.19	$321.19	$420.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $128.79 / $128.79 / $128.79	Professional	26	$128.79	$128.79	$128.79
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $254.00 / $254.00 / $295.35	Professional	TC	$254.00	$254.00	$295.35
United Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $53.93 / $94.62	Professional		$44.24	$53.93	$94.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $18.75 / $34.08	Professional	26	$14.94	$18.75	$34.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $35.18 / $61.73	Professional	TC	$28.00	$35.18	$61.73