Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.62 / $20.62 / $130.99	Facility	26	$20.62	$20.62	$130.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $45.71 / $174.00	Professional		$38.10	$45.71	$174.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.62 / $22.86 / $86.77	Professional	26	$20.62	$22.86	$86.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $20.49 / $35.67	Professional	TC	$17.48	$20.49	$35.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $37.17 / $76.34	Professional		$27.00	$37.17	$76.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $25.35 / $44.73	Professional	26	$17.48	$25.35	$44.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.11 / $24.11 / $24.11	Professional	TC	$24.11	$24.11	$24.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $58.45 / $92.86	Professional		$33.72	$58.45	$92.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.35 / $32.65 / $50.69	Professional	26	$20.35	$32.65	$50.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.57 / $28.72 / $42.59	Professional	TC	$16.57	$28.72	$42.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.99 / $26.99 / $26.99	Facility	26	$26.99	$26.99	$26.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $61.35 / $120.00	Professional		$37.61	$61.35	$120.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $30.74 / $52.17	Professional	26	$20.23	$30.74	$52.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $28.05 / $65.37	Professional	TC	$17.07	$28.05	$65.37
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $115.95 / $115.95	Facility	26	$55.98	$115.95	$115.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.95 / $495.56 / $495.56	Professional		$426.95	$495.56	$495.56
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $151.44 / $151.44 / $186.98	Professional	26	$151.44	$151.44	$186.98
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $367.63 / $378.66 / $378.66	Professional	TC	$367.63	$378.66	$378.66
United Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $53.00 / $99.38	Professional		$42.88	$53.00	$99.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.06 / $29.47 / $49.50	Professional	26	$23.06	$29.47	$49.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $23.53 / $48.67	Professional	TC	$18.05	$23.53	$48.67