Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.83 / $13.28 / $83.00	Facility	26	$12.83	$13.28	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $38.72 / $67.59	Professional		$33.03	$38.72	$67.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $14.08 / $24.01	Professional	26	$12.53	$14.08	$24.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $23.67 / $47.07	Professional	TC	$20.19	$23.67	$47.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $62.03 / $62.03	Professional		$62.03	$62.03	$62.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.78 / $15.28 / $34.70	Professional	26	$2.78	$15.28	$34.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $61.83 / $116.51	Professional		$30.01	$61.83	$116.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.17 / $23.42 / $37.29	Professional	26	$14.17	$23.42	$37.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $36.47 / $86.48	Professional	TC	$19.18	$36.47	$86.48
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 $34.44 / $58.93 / $104.11	Professional		$34.44	$58.93	$104.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.34 / $21.50 / $35.47	Professional	26	$13.34	$21.50	$35.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $37.59 / $72.09	Professional	TC	$21.10	$37.59	$72.09
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $100.00 / $100.00	Facility	26	$49.08	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $346.50 / $390.88 / $390.88	Professional		$346.50	$390.88	$390.88
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $103.00 / $103.00 / $121.80	Professional	26	$103.00	$103.00	$121.80
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $258.12 / $301.75 / $301.75	Professional	TC	$258.12	$301.75	$301.75
United Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $56.24 / $87.60	Professional		$37.49	$56.24	$87.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.11 / $18.75 / $32.89	Professional	26	$15.11	$18.75	$32.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.08 / $32.81 / $54.68	Professional	TC	$22.08	$32.81	$54.68