Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.17 / $19.64 / $73.55	Facility	26	$11.17	$19.64	$73.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $38.74 / $76.14	Professional		$34.85	$38.74	$76.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $13.04 / $25.18	Professional	26	$11.17	$13.04	$25.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.79 / $18.95 / $27.10	Professional	52	$16.79	$18.95	$27.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $26.21 / $45.97	Professional	TC	$22.26	$26.21	$45.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $60.07 / $60.07	Professional		$45.94	$60.07	$60.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $23.09 / $25.45	Professional	26	$9.56	$23.09	$25.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $51.35 / $84.35	Professional		$29.78	$51.35	$84.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.45 / $19.75 / $31.32	Professional	26	$12.45	$19.75	$31.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.87 / $31.96 / $53.67	Professional	TC	$18.87	$31.96	$53.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.96 / $14.96 / $16.80	Facility	26	$14.96	$14.96	$16.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $50.83 / $83.92	Professional		$34.94	$50.83	$83.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $18.64 / $30.40	Professional	26	$11.82	$18.64	$30.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.48 / $32.26 / $55.57	Professional	TC	$21.48	$32.26	$55.57
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $70.00 / $80.00	Facility	26	$36.81	$70.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $290.45 / $290.45 / $381.90	Professional		$290.45	$290.45	$381.90
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.68 / $82.68 / $106.35	Professional	26	$82.68	$82.68	$106.35
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $207.72 / $207.72 / $275.55	Professional	TC	$207.72	$207.72	$275.55
United Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $45.36 / $82.20	Professional		$37.40	$45.36	$82.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.17 / $15.97 / $29.34	Professional	26	$13.17	$15.97	$29.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $30.68 / $59.96	Professional	TC	$23.29	$30.68	$59.96