Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.07 / $26.61 / $37.54	Facility	26	$20.07	$26.61	$37.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $66.36 / $271.70	Professional		$39.18	$66.36	$271.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $22.72 / $76.08	Professional	26	$18.01	$22.72	$76.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $27.46 / $69.69	Professional	TC	$19.10	$27.46	$69.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $38.09 / $77.20	Professional		$34.92	$38.09	$77.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $19.89 / $43.13	Professional	26	$17.39	$19.89	$43.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.46 / $23.46 / $23.46	Professional	TC	$23.46	$23.46	$23.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $70.81 / $141.33	Professional		$34.82	$70.81	$141.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.62 / $29.43 / $48.93	Professional	26	$19.62	$29.43	$48.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $35.15 / $111.65	Professional	TC	$18.85	$35.15	$111.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $26.65 / $26.65	Facility	26	$26.65	$26.65	$26.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $69.28 / $144.69	Professional		$40.97	$69.28	$144.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $27.55 / $48.50	Professional	26	$18.76	$27.55	$48.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.72 / $34.56 / $92.70	Professional	TC	$20.72	$34.56	$92.70
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $55.69 / $115.19 / $115.19	Facility	26	$55.69	$115.19	$115.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.66 / $592.92 / $592.92	Professional		$575.66	$592.92	$592.92
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $232.81 / $232.81 / $232.81	Professional	26	$232.81	$232.81	$232.81
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $385.57 / $398.91 / $409.84	Professional	TC	$385.57	$398.91	$409.84
United Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $61.06 / $120.68	Professional		$45.48	$61.06	$120.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.91 / $26.18 / $48.14	Professional	26	$19.91	$26.18	$48.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.55 / $32.15 / $102.15	Professional	TC	$21.55	$32.15	$102.15