Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $35.48 / $154.88	Facility	26	$24.55	$35.48	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $144.54	Professional		$42.66	$61.66	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $44.67 / $91.20	Professional	26	$23.99	$44.67	$91.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.38 / $45.71 / $125.89	Professional	52	$21.38	$45.71	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $60.26	Professional	TC	$19.05	$28.18	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $81.28	Professional		$34.67	$47.86	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.84 / $52.48	Professional	26	$20.89	$28.84	$52.48
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $10.96 / $13.18 / $20.42	Professional	52	$10.96	$13.18	$20.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $34.67	Professional	TC	$15.85	$21.88	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $58.88 / $112.20	Professional		$22.91	$58.88	$112.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $44.67 / $70.79	Professional	26	$28.18	$44.67	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $34.67 / $56.23	Professional	TC	$22.39	$34.67	$56.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $35.48 / $35.48	Facility	26	$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $114.82	Professional		$46.77	$67.61	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.90 / $66.07	Professional	26	$25.70	$38.90	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $30.20 / $51.29	Professional	TC	$20.42	$30.20	$51.29
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $436.52	Professional		$331.13	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $229.09 / $229.09	Professional	26	$181.97	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $204.17 / $204.17	Professional	TC	$151.36	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $104.71	Professional		$51.29	$66.07	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $36.31 / $58.88	Professional	26	$27.54	$36.31	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.84 / $45.71	Professional	TC	$22.91	$28.84	$45.71