Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.93 / $77.00 / $147.00	Facility	26	$45.93	$77.00	$147.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $73.34 / $325.00	Professional		$22.83	$73.34	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $14.50 / $98.00	Professional	26	$8.83	$14.50	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.96 / $66.48 / $227.00	Professional	TC	$13.96	$66.48	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $38.02 / $39.22	Professional		$34.14	$38.02	$39.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $10.40 / $21.63	Professional	26	$6.94	$10.40	$21.63
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.27 / $20.66 / $20.66	Professional	TC	$11.27	$20.66	$20.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $42.23 / $104.76	Professional		$18.13	$42.23	$104.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $14.45 / $23.40	Professional	26	$8.96	$14.45	$23.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.34 / $23.55 / $82.56	Professional	TC	$11.34	$23.55	$82.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $11.60	Facility	26	$10.80	$10.80	$11.60
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $5.59 / $5.59 / $5.59	Facility	53	$5.59	$5.59	$5.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $39.81 / $160.44	Professional		$20.54	$39.81	$160.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $13.30 / $21.70	Professional	26	$8.17	$13.30	$21.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.88 / $23.20 / $145.19	Professional	TC	$11.88	$23.20	$145.19
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $51.68 / $100.00 / $132.00	Facility	26	$51.68	$100.00	$132.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $29.10 / $53.18 / $53.18	Facility	53	$29.10	$53.18	$53.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $556.59 / $761.56 / $761.56	Professional		$556.59	$761.56	$761.56
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $132.00 / $132.00 / $132.00	Professional	26	$132.00	$132.00	$132.00
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $525.26 / $705.08 / $705.08	Professional	TC	$525.26	$705.08	$705.08
United Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $36.57 / $132.88	Professional		$21.77	$36.57	$132.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $11.60 / $20.36	Professional	26	$9.26	$11.60	$20.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.14 / $20.84 / $111.05	Professional	TC	$12.14	$20.84	$111.05